Rashanda Caprice Jackson, MSW, LCSWA
Individual provider Active NPI Clinical Social Worker · Angier, NC
NPI 1124654223 · NPPES record last updated Mar 20, 2020
Key facts
- NPI
- 1124654223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P014246 (NC)
- Practice address
- 45 Comm Park LN
Angier, NC 27501-5490 - Phone
- (910) 502-3388
- Fax
- (919) 827-8500
- NPI assigned
- Mar 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P014246 | NC | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P014246 | NC | Yes |
Addresses
Primary practice location
45 Comm Park LN
Angier, NC 27501-5490
Mailing address
5840 Chason Ridge Dr
Fayetteville, NC 28314-4847
Phone (910) 354-7263
Other names
- Rashanda Caprice Jackson
Other providers in Angier, NC
- Grace Adel Heimensen
- Lauren Hill
- Nancy Waff Hodgson
- Nancy Ikehara
- Jordan Jackson
- Laura Horton Jessup
- Joe Hazel Counseling Services
- Jayme Kemp
- Kerr Drug Inc
- Kidz Pediatrics, PA
All providers in Angier, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.