Kathleen Maeve Jackson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022295 Issued in NC

Practice address

8319 Six Forks Rd Ste 203
Raleigh, NC 27615-2108

Phone

(919) 307-8664

NPI assigned

Sep 26, 2025

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

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.

• Keep Counsel

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1043820715
  NPD (past)

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1871466722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 QUAKER MEADOWS CT",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406163",
            "telephone_number": "919-356-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8319 SIX FORKS RD STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152108",
            "telephone_number": "919-307-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATHLEEN",
        "middle_name": "MAEVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wood Jackson, PH.D.
• Grace Glasgow Jackson, LCSWA, LCASA
• Jasmine Tiana Jackson
• Jennifer Jackson, LCSW-A/LCAS-A
• Katherine Jackson, MA, LMFTA
• Katti Laine Jackson, MS, RD, LDN
• Kendra D Jackson
• Krystal Kiamon Jackson
• Latrina Colleen Jackson, RN
• Lillian Malinda Jackson, LCAS

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 Sep 26, 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.

Verify at the official NPI Registry.