Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES BARTLETT JACKSON JR.
ActiveCHARLES BARTLETT JACKSON JR. is a Clinical Social Worker healthcare provider located in ROXBORO, North Carolina. NPI 1003149048 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ROXBORO, NC
Registration Details
- NPI Number
- 1003149048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2009 (16.908901449604 yrs)
- Last Updated
- Sep 6, 2015
- Licenses
-
C007168 (NC)1513 (NC)
Practice Information
- Address
-
355 S MADISON BLVD STE C1ROXBORO, NC, 275735485Browse NC providers · Browse ZIP 27573
- Phone
- 3365998366
- Fax
- 3363226168
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Clinical Social Worker Providers in ROXBORO, NC
| Name | Credential | NPI |
|---|---|---|
| ELLEN K. MCRAE | MSW, LCSW | 1528018025 |
| KAREN LANDIS | — | 1457452914 |
| SIGNE OFFENBERG | — | 1609954213 |
| CALEB JONATHAN MIGOMBO | P-LCSW | 1992033666 |
| MRS. ELIZABETH DANIELS | LCSW-A | 1962821025 |
| SHENITA PAULETTE MANGUM | LCSWA, LCASA | 1972987972 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.