Evlyn Elizabeth Jackson, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019205 Issued in NC

Practice address

20 Ravenscroft Dr
Asheville, NC 28801-3637

Phone

(828) 400-6299

Fax

(828) 372-4701

NPI assigned

Jan 16, 2024

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

Practice roles

Locations

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.

• Stacey Curnow PLLC

  • Professional Counselor
  • Asheville, NC
  • NPI 1730841164
  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1689435877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PEARSON DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011646",
            "telephone_number": "858-699-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RAVENSCROFT DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013637",
            "telephone_number": "828-400-6299",
            "fax_number": "828-372-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "EVLYN",
        "middle_name": "ELIZABETH",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Jackson-Jordan
• Amanda Sue Jackson
• Chazeray Monteya Jackson, PTA
• Deven Jackson
• Eileen Marie Jackson, CADC, CPSS, BS
• Gracie Annette Jackson
• Jennifer Cheek Jackson, DMD
• Jonathon Troy Jackson
• Julie Ann Jackson
• Kimberly Taylor Jackson, M.A., LPA

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, 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 9, 2024; 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.