Active NPI
Jaclyn Marcacci, LCSW
- Clinical Social Worker
- Fayetteville, NC
National Provider Identifier
1770944753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013198
- Practice address
- 2817 Rock Merritt Ave.
Womack Army Medical Center
Fayetteville, NC 28310 - Phone
- (910) 907-8922
- NPI assigned
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C013198 | NC | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave.
Womack Army Medical Center
Fayetteville, NC 28310
Mailing address
2817 Rock Merritt Ave.
Womack Army Medical Center
Fayetteville, NC 28310
Phone (910) 907-8922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770944753 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C013198 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1770944753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE.",
"address_2": "WOMACK ARMY MEDICAL CENTER",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE.",
"address_2": "WOMACK ARMY MEDICAL CENTER",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCACCI",
"first_name": "JACLYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-17",
"last_updated": "2025-03-20",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770944753",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.