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MR. THOMAS JACKSON M.S.W., P-LCSW
NPI 1255698759
Social Worker - Clinical in Summerfield, NC

Active since April 20, 2012
5240 CREED DR, SUMMERFIELD, NC 27358(336) 686-1314(336) 686-1314 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Jackson M.s.w., P-lcsw NPPES

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

MR. THOMAS JACKSON M.S.W., P-LCSW (NPI 1255698759) is an individual clinical provider in Summerfield, North Carolina, licensed in North Carolina (P006086) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1255698759
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THOMAS JACKSONCredential: M.S.W., P-LCSW
Location Address5240 CREED DRSummerfield, NC 27358-8284
Mailing Address5240 Creed DrSummerfield, NC 27358-8284 · (336) 686-1314 · Fax (336) 686-1314
Phone(336) 686-1314
Fax(336) 686-1314
Sole ProprietorYes
Enumeration DateApril 20, 2012
✔ NPI 1255698759 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 · P006086
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.
5240 CREED DR, Summerfield, NC 27358
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Other Identifiers 1

OtherP006086NC · North Carolina Social Work Certification & Licensure Board License # P006086

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 Thomas Jackson's NPI number?

The NPI number for Thomas Jackson is 1255698759. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Thomas Jackson located?

Thomas Jackson practices at 5240 Creed Dr, Summerfield, NC 27358. The listed phone number is (336) 686-1314.

What is Thomas 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 Thomas Jackson was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.