MRS. STACIA JACKSON MARCELLIN LCSW
NPI 1316164924
Social Worker - Clinical in Charlotte, NC

Active since April 18, 2007
5145 AVENING CT, CHARLOTTE, NC 28215(704) 405-7403 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stacia Jackson Marcellin Lcsw NPPES

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

MRS. STACIA JACKSON MARCELLIN LCSW (NPI 1316164924) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C006185) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1316164924
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. STACIA JACKSON MARCELLINCredential: LCSW
Location Address5145 AVENING CTCharlotte, NC 28215-8075
Mailing Address5145 Avening CtCharlotte, NC 28215-8075 · (704) 405-7403
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateNovember 30, 2017
NPI 1316164924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NC · C006185 Licensed in MD · G11976 Licensed in NC · P003952
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.
5145 AVENING CT, Charlotte, NC 28215

Other Names 1

Former Name (1)Stacia Lennette Jackson Lgsw

Accepted Insurance

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 Stacia Marcellin's NPI number?

The NPI number for Stacia Marcellin is 1316164924. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Stacia Lennette Jackson Lgsw.

Where is Stacia Marcellin located?

Stacia Marcellin practices at 5145 Avening Ct, Charlotte, NC 28215. The listed phone number is (704) 405-7403.

What is Stacia Marcellin's specialty?

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

What insurance does Stacia Marcellin accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Stacia Marcellin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacia Marcellin was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.