Individual provider · Type 1 NPI

Quentera Jackson, MSW, LCSWA

Clinical Social Worker · Fayetteville, NC

NPI number 1205501780 Active

Practice location

324 Person St
Fayetteville, NC 28301-5736

Call (910) 438-0939 Map

Mailing address

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829

Other practice locations

  • 410 Denim Dr, Erwin, NC 28339-2204 · (910) 230-4011

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016111 (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 1205501780

Quentera Jackson, MSW, LCSWA's National Provider Identifier is 1205501780, issued on Aug 16, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 12, 2025.