Leigh Anne Margaret Jackson, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012195 Issued in NC

Practice address

603 Cox Rd Ste C
Gastonia, NC 28054-3432

Phone

(704) 869-2570

NPI assigned

Feb 7, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1033618723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALNUT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084427",
            "telephone_number": "401-864-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 COX RD STE C",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543432",
            "telephone_number": "704-869-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LEIGH ANNE",
        "middle_name": "MARGARET",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dabria Jackson
• Hannah Stewart Jackson, NP-C
• Jakayla Rene Jackson
• Jessica Rechelle Jackson, DDS
• Khristie Jackson
• Precious Tanyanika Lajoy Jackson, LPC
• Rahul Jacob, M.D.
• George Jacobs, M.D.
• Singaravelu Jagadeesan, MD
• Dennis Jagdon, SRNA

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.