VICTORIA JACKSON LCSWA
NPI 1932885324
Social Worker - Clinical in Goldsboro, NC

Q: What is Victoria Jackson's NPI number?

The NPI number for Victoria Jackson is 1932885324. It was assigned to this individual provider in the NPPES registry on June 22, 2023. The provider is also known as Victoria Shailisa Jackson Lcswa.

Q: What is Victoria Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Victoria Jackson was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 22, 2023

208 MALLOY ST STE B, GOLDSBORO, NC 27534(984) 520-6080 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Jun 22, 2023 (2 updates tracked since 2023).

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About Victoria Jackson Lcswa NPPES

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

VICTORIA JACKSON LCSWA (NPI 1932885324) is an individual clinical provider in Goldsboro, North Carolina, licensed in North Carolina (P018890) and active in the NPI registry since June 2023. She maintains a secondary practice location in Fuquay Varina.

NPPES Registry Identity

NPI1932885324

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameVICTORIA JACKSONCredential: LCSWA

Location Address208 MALLOY ST STE BGoldsboro, NC 27534-4478

Mailing Address7629 Purfoy Rd # RfFuquay Varina, NC 27526-9549 · (919) 285-4802

Phone(984) 520-6080

Sole ProprietorNo

Enumeration DateJune 22, 2023

Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1932885324 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 · P018890

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.

208 MALLOY ST STE B, Goldsboro, NC 27534

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Other Names 1

Other Name (5)Victoria Shailisa Jackson Lcswa

Secondary Practice Location 1

Location 17629 Purfoy RdFuquay Varina, NC 27526-9549 · Phone (919) 285-4802

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 18

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

IVANE SINAI SAENZ LCSWA

Social Worker (Clinical)