Individual provider · Type 1 NPI

Jacquetta I. Harris, MSW, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1598565830 Active

Practice location

1515 Mockingbird Ln Ste 420
Charlotte, NC 28209-3236

Mailing address

PO Box 561372
Charlotte, NC 28256-1372

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP021713 (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.