Individual provider · Type 1 NPI

Jennifer Jasmine Campos, LCAS-A, LCSW-A

Clinical Social Worker · Cary, NC

NPI number 1124986674 Active

Practice location

1150 SE Maynard Rd Ste 110
Cary, NC 27511-4164

Mailing address

258 Lakewood Dr
Wendell, NC 27591-9455

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-30934 (NC)
Clinical Social Worker Primary 1041C0700XP022222 (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…

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About NPI 1124986674

Jennifer Jasmine Campos, LCAS-A, LCSW-A's National Provider Identifier is 1124986674, issued on Jan 13, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cary, NC. The record was last updated on Jan 13, 2026.