Individual provider Active NPI

Jakayla Monique Morrison, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1609521566
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015461 Issued in NC
Practice address
4030 Wake Forest Rd Ste 300
Raleigh, NC 27609-6800
Phone
(302) 213-6158
Fax
(855) 530-2764
NPI assigned
Feb 18, 2022
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X C015461 NC
Clinical Social Worker 1041C0700X P015130 NC
Clinical Social Worker 1041C0700X C015461 NC Primary
Clinical Social Worker 1041C0700X Q5-0000165 DE

Addresses

Primary practice location

4030 Wake Forest Rd Ste 300
Raleigh, NC 27609-6800

Mailing address

2300 Pennsylvania Ave Unit LLC
Wilmington, DE 19806-1392
Phone (302) 213-6158

Other practice location 1

2300 Pennsylvania Ave Unit Llc
Wilmington, DE 19806-1392
Phone (302) 213-6158

Other practice location 2

8319 Six Forks Rd Ste 203
Raleigh, NC 27615-2108
Phone (919) 307-8664

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
I20221209000275 NC Practitioner - Clinical Social Worker 3678942828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Introspection Counseling Center LLCGroup PAC ID 9436549813, 2 clinicians

Practice addresses (Care Compare)

4030 Wake Forest Rd
Suite 300
Raleigh, NC 27609-6800
Phone (302) 213-6158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q5-0000165DEMDClinical Social Worker
C015461NCMDClinical Social Worker
P015130NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Introspection Counseling Center LLC Clinical CurrentSince Mar 4, 2023 Accepting new patients
Keep Counsel Clinical Past Accepting new patients

Locations

2300 Pennsylvania Ave
Unit Llc
Wilmington, DE 19806
Phone (302) 213-6158

4030 Wake Forest Rd
Ste 300
Raleigh, NC 27609
Phone (302) 213-6158

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1609521566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE UNIT LLC",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061392",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096800",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Pennsylvania Ave Unit Llc",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198061392",
            "country_code": "US",
            "telephone_number": "302-213-6158",
            "fax_number": "855-530-2764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8319 Six Forks Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276152108",
            "country_code": "US",
            "telephone_number": "919-307-8664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "JAKAYLA",
        "middle_name": "MONIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "C015461",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015461",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q5-0000165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.