Individual provider · Type 1 NPI

Jordyn Taylor Roark, LCSWA

Clinical Social Worker · Raleigh, NC

NPI number 1881599504 Active

Practice location

5561 Mcneely Dr Ste 101
Raleigh, NC 27612-7625

Call (984) 305-3141 Map

Mailing address

333 Castle Rock Ln
Cary, NC 27519-1903

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP024741 (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 1881599504

Jordyn Taylor Roark, LCSWA's National Provider Identifier is 1881599504, issued on Oct 12, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Oct 12, 2026.