Individual provider Active NPI

Margaret Elizabeth Jackson, MSSW, LCSW, ACSW

  • Clinical Social Worker
  • Cary, NC
National Provider Identifier
1174533996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004517 Issued in NC
Practice address
1230 SE Maynard Rd Ste 203
Cary, NC 27511-6945
Phone
(919) 466-7540
Fax
(919) 466-7543
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004517 NC Primary

Addresses

Primary practice location

1230 SE Maynard Rd Ste 203
Cary, NC 27511-6945

Mailing address

1230 SE Maynard Rd Ste 203
Cary, NC 27511-6945
Phone (919) 466-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000539 NC Practitioner - Clinical Social Worker 3971651704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Main Street Clinical Associates, PAGroup PAC ID 8123015435, 2 clinicians

Practice addresses (Care Compare)

115 N Duke St
1B
Durham, NC 27701-2187
Phone (919) 286-3453

2828 Pickett Rd
Suite 250B
Durham, NC 27705-5613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004517NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Clinical Associates, PA Clinical CurrentSince Mar 4, 2009 Accepting new patients
Cary Behavioral Health, PC Past Accepting new patients

Locations

115 N Duke St
Ste 1B
Durham, NC 27701
Phone (919) 286-3453

2828 Pickett Rd
Ste 250B
Durham, NC 27705
Phone (919) 286-3453

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174533996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945",
            "telephone_number": "919-466-7540",
            "fax_number": "919-466-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SE MAYNARD RD STE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116945",
            "telephone_number": "919-466-7540",
            "fax_number": "919-466-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARGARET",
        "middle_name": "ELIZABETH",
        "credential": "MSSW, LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.