MR. JACOBE LEON DOUGLAS MSA, CCM, LCSWA
NPI 1649148305
Social Worker - Clinical in Haw River, NC

Active since October 24, 2025
104 CONE DR UNIT 351, HAW RIVER, NC 27258(201) 819-1473(336) 217-8532 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jacobe Leon Douglas Msa, Ccm, Lcswa NPPES

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

MR. JACOBE LEON DOUGLAS MSA, CCM, LCSWA (NPI 1649148305) is an individual clinical provider in Haw River, North Carolina, licensed in North Carolina (P018932) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1649148305
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACOBE LEON DOUGLASCredential: MSA, CCM, LCSWA
Location Address104 CONE DR UNIT 351Haw River, NC 27258-9662
Mailing Address104 Cone Dr Unit 351Haw River, NC 27258-9662 · (201) 819-1473 · Fax (336) 217-8532
Fax(336) 217-8532
Sole ProprietorYes
Enumeration DateOctober 24, 2025
NPPES CertifiedOctober 24, 2025
NPI 1649148305 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 · P018932
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.
104 CONE DR UNIT 351, Haw River, NC 27258

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 Jacobe Douglas's NPI number?

The NPI number for Jacobe Douglas is 1649148305. It was assigned to this individual provider in the NPPES registry on October 24, 2025.

Where is Jacobe Douglas located?

Jacobe Douglas practices at 104 Cone Dr Unit 351, Haw River, NC 27258. The listed phone number is (201) 819-1473.

What is Jacobe Douglas'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 Jacobe Douglas was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.