Individual provider · Type 1 NPI
Jacquetta I. Harris, MSW, LCSWA
Clinical Social Worker · Charlotte, NC
Practice location
1515 Mockingbird Ln Ste 420
Charlotte, NC 28209-3236
Mailing address
PO Box 561372
Charlotte, NC 28256-1372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | P021713 (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 1598565830
Jacquetta I. Harris, MSW, LCSWA's National Provider Identifier is 1598565830, issued on Mar 17, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 17, 2025.