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JENNIFER ANN JACKSON LCSWA
NPI 1245702018
Social Worker - Clinical in Wilmington, NC

Active since December 18, 2018
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 202-3155(910) 202-9966 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 26, 2022, Apr 7, 2022, Dec 18, 2018 (3 updates tracked since 2018).

About Jennifer Ann Jackson Lcswa NPPES

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

JENNIFER ANN JACKSON LCSWA (NPI 1245702018) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (P016884) and active in the NPI registry since December 2018. She maintains a secondary practice location in Burgaw.

NPPES Registry Identity

NPI1245702018
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER ANN JACKSONCredential: LCSWA
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 202-3155
Phone(910) 202-3155
Fax(910) 202-9966
Sole ProprietorNo
Enumeration DateDecember 18, 2018
Last NPPES UpdateApril 26, 20223 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1245702018 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 · P016884
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.
615 SHIPYARD BLVD, Wilmington, NC 28412
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Secondary Practice Location 1

Location 1309 Progress DrBurgaw, NC 28425-3280 · Phone (910) 259-0668

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.

COASTAL HORIZONS CENTER, INC.
Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 790-0187
MISS MARY FLORENCE WOOD LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 617-9647
MRS. ISABELLA LECCI PATE LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 931-4147
WHITNEY SHANTE JONES
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
TERRANCE WILLIAMS LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
DANIELLE MARGARET ROBBINS LCSW-A
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 399-3755
BRITTNEY PROCTOR LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 202-3155
TAMMY MICHELE JOHNSON-MCKOY LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Jackson's NPI number?

The NPI number for Jennifer Jackson is 1245702018. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Jennifer Jackson located?

Jennifer Jackson practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 202-3155.

What is Jennifer Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Jackson was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.