Individual provider · Type 1 NPI

Jessica Jazz Balletta, LCSW

Clinical Social Worker · Raleigh, NC

NPI number 1225385156 Active

Practice location

3937 Western Blvd
Raleigh, NC 27606-1936

Call (919) 821-0790 Map

Fax (919) 518-9476

Mailing address

5304 Meridian Market Dr
Fuquay Varina, NC 27526-5760

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC012928 (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 1225385156

Jessica Jazz Balletta, LCSW's National Provider Identifier is 1225385156, issued on Aug 9, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on May 6, 2020.