Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOBE LEON DOUGLAS, MSA, CCM, LCSWA
Active Sole ProprietorMR. JACOBE LEON DOUGLAS, MSA, CCM, LCSWA is a Clinical Social Worker healthcare provider located in HAW RIVER, North Carolina. NPI 1649148305 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · HAW RIVER, NC
Registration Details
- NPI Number
- 1649148305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2025 (0.78915625827039 yrs)
- Last Updated
- Oct 24, 2025
- License
-
P018932 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 CONE DR UNIT 351HAW RIVER, NC, 272589662Browse NC providers · Browse ZIP 27258
- Phone
- 2018191473
- Fax
- 3362178532
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.