Individual provider · Type 1 NPI

Kimberley Jane Fournier-Jacques, LCSWA

Clinical Social Worker · Wilmington, NC

NPI number 1871724641 Active

Practice location

3907 Wrightsville Ave Ste 110
Wilmington, NC 28403-6251

Mailing address

233 Racine Dr Unit 9
Wilmington, NC 28403-1946

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP023883 (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 1871724641

Kimberley Jane Fournier-Jacques, LCSWA's National Provider Identifier is 1871724641, issued on Jul 28, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilmington, NC. The record was last updated on Jun 25, 2026.