Individual provider · Type 1 NPI
Charles Bartlett Jackson Jr.
Clinical Social Worker · Roxboro, NC
Practice location
355 S Madison Blvd Ste C1
Roxboro, NC 27573-5485
Fax (336) 322-6168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C007168 (NC) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1513 (NC) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
Another provider at this address
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About NPI 1003149048
Charles Bartlett Jackson Jr.'s National Provider Identifier is 1003149048, issued on Sep 9, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roxboro, NC. The record was last updated on Sep 6, 2015.