MARY P JACKSON LCSWA
NPI 1922626191
Social Worker - Clinical in Winston Salem, NC

Active since July 13, 2020
4035 UNIVERSITY PKWY STE 101, WINSTON SALEM, NC 27106(336) 663-2751 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2020, Jul 13, 2020 (2 updates tracked since 2020).

About Mary P Jackson Lcswa NPPES

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

MARY P JACKSON LCSWA (NPI 1922626191) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (P014930) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1922626191
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY P JACKSONCredential: LCSWA
Location Address4035 UNIVERSITY PKWY STE 101Winston Salem, NC 27106-3275
Mailing Address2648 Randelman RdGreensboro, NC 27406-5108 · (336) 587-8513
Sole ProprietorYes
Enumeration DateJuly 13, 2020
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedAugust 2, 2020
NPI 1922626191 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 · P014930
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.

4035 UNIVERSITY PKWY STE 101, Winston Salem, NC 27106

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
4035 UNIVERSITY PKWY STE 101
WINSTON SALEM, NC 27106
Social Worker (Clinical)
4035 UNIVERSITY PKWY STE 101
WINSTON SALEM, NC 27106
Social Worker (Clinical)
4035 UNIVERSITY PKWY STE 101
WINSTON SALEM, NC 27106
Social Worker (Clinical)
4035 UNIVERSITY PKWY STE 101
WINSTON SALEM, NC 27106

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 Mary Jackson's NPI number?

The NPI number for Mary Jackson is 1922626191. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Mary Jackson located?

Mary Jackson practices at 4035 University Pkwy Ste 101, Winston Salem, NC 27106. The listed phone number is (336) 663-2751.

What is Mary Jackson's specialty?

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

What insurance does Mary Jackson accept?

Health plans from Blue Cross and Blue Shield of NC, BridgeSpan Health Company, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Providence Health Plan and 2 other insurers list Mary Jackson 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 Mary Jackson was last updated on October 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.