QUENTERA JACKSON MSW, LCSWA
NPI 1205501780
Social Worker - Clinical in Fayetteville, NC

Q: What is Quentera Jackson's NPI number?

The NPI number for Quentera Jackson is 1205501780. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Q: What is Quentera Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Quentera Jackson was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2021

324 PERSON ST, FAYETTEVILLE, NC 28301(910) 438-0939 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Aug 16, 2021 (2 updates tracked since 2021).

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About Quentera Jackson Msw, Lcswa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUENTERA JACKSON MSW, LCSWA (NPI 1205501780) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P016111) and active in the NPI registry since August 2021. She maintains a secondary practice location in Erwin.

NPPES Registry Identity

NPI1205501780

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameQUENTERA JACKSONCredential: MSW, LCSWA

Location Address324 PERSON STFayetteville, NC 28301-5736

Mailing Address2670 Durham Chapel Hill BlvdDurham, NC 27707-2829

Phone(910) 438-0939

Sole ProprietorYes

Enumeration DateAugust 16, 2021

Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1205501780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · P016111

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

324 PERSON ST, Fayetteville, NC 28301

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Secondary Practice Location 1

Location 1410 Denim DrErwin, NC 28339-2204 · Phone (910) 230-4011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRLEY ANN WHITE-SNEAD

Counselor (Addiction (Substance Use Disorder))