Jack Register & Associates PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004968 Issued in NC

Legal business name

JACK REGISTER & ASSOCIATES PLLC

Practice address

1700 Marion St
Greensboro, NC 27403-3432

Phone

(336) 443-6703

Fax

(336) 217-8029

NPI assigned

Oct 25, 2017

Last updated

Dec 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jack Register, LCSW, LCAS, CCS

Title

Ceo

Phone

(336) 443-6703

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1205348661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MARION ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033432",
            "telephone_number": "336-443-6703",
            "fax_number": "336-217-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARION ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033432",
            "telephone_number": "336-443-6703",
            "fax_number": "336-217-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK REGISTER & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "REGISTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-443-6703",
        "authorized_official_credential": "LCSW, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1723",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J David Civils & Janna C Civils DDS PA
• J Selig Cooper DDS PA
• J&E White Enterprises LLC
• Mahamad Jabbi, LCSWA
• Jack of All Stixx
• Harold N Jacklin, MD
• Ariel Jackson
• Benjamin Jackson, DO
• Carley Jackson
• Carswell Hoots Jackson, MD

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 Dec 3, 2021; 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.