Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNATHON DEAN JACKSON, LCSWA
Active Sole ProprietorJOHNATHON DEAN JACKSON, LCSWA is a Clinical Social Worker healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1407743164 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1407743164
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2025 (1.1254381641531 yrs)
- Last Updated
- Jun 23, 2025
- License
-
P022036 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
351 WAGONER DR STE 411FAYETTEVILLE, NC, 283034608Browse NC providers · Browse ZIP 28303
- Phone
- 9109942818
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| LAURA H. TAYLOR | LCSW | 1164426904 |
| LINDA D. ALKOVE | LCSW | 1558365486 |
| RICHARD R. ZEIBER | ACSW, LCSW | 1043214885 |
| MISS CAROLYN MARAK CARPENTER | MSW, LCSW | 1588661441 |
| MRS. DORIS ANN MOORE-RUSSELL | LCSW | 1255321592 |
| MR. ERNEST NEERGAARD PEDERSEN | LCSW | 1396726352 |
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.