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LEGACY THERAPEUTIC INTERVENTIONS, PLLC
NPI 1689392177
Social Worker - Clinical in Fayetteville, NC

Active since August 19, 2022
5403 NESSEE ST, FAYETTEVILLE, NC 28314(678) 674-9965 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Therapeutic Interventions, Pllc NPPES

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

LEGACY THERAPEUTIC INTERVENTIONS, PLLC (NPI 1689392177) is a healthcare organization registered as a clinical in Fayetteville, North Carolina and active in the NPI registry since August 2022. The organization lists Yazlyn Maria Jacobs, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689392177
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLEGACY THERAPEUTIC INTERVENTIONS, PLLC
Location Address5403 NESSEE STFayetteville, NC 28314-4600
Mailing Address5403 Nessee StFayetteville, NC 28314-4600 · (678) 674-9965
Phone(678) 674-9965
Organization SubpartNo
Authorized OfficialYazlyn Maria JacobsCeo · (678) 674-9965
Enumeration DateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1689392177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
5403 NESSEE ST, Fayetteville, NC 28314
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Legacy Therapeutic Interventions, PLLC's NPI number?

The NPI number for Legacy Therapeutic Interventions, PLLC is 1689392177. It was assigned to this organization in the NPPES registry on August 19, 2022.

Where is Legacy Therapeutic Interventions, PLLC located?

Legacy Therapeutic Interventions, PLLC is located at 5403 Nessee St, Fayetteville, NC 28314. The listed phone number is (678) 674-9965.

What is Legacy Therapeutic Interventions, PLLC'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 Legacy Therapeutic Interventions, PLLC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.