Individual provider · Type 1 NPI
Jacobe Leon Douglas, MSA, CCM, LCSWA
Clinical Social Worker · Haw River, NC
Practice location
104 Cone Dr Unit 351
Haw River, NC 27258-9662
Fax (336) 217-8532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | P018932 (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…
About NPI 1649148305
Jacobe Leon Douglas, MSA, CCM, LCSWA's National Provider Identifier is 1649148305, issued on Oct 24, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Haw River, NC. The record was last updated on Oct 24, 2025.