Individual provider · Type 1 NPI

Grace Glasgow Jackson, LCSWA, LCASA

Clinical Social Worker · Raleigh, NC

NPI number 1982430419 Active

Practice location

3117 Poplarwood Ct Ste 115
Raleigh, NC 27604-1040

Fax (919) 571-2932

Mailing address

3125 Poplarwood Ct Ste 203
Raleigh, NC 27604-6445

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-30192 (NC)
Clinical Social Worker Primary 1041C0700XP021281 (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 1982430419

Grace Glasgow Jackson, LCSWA, LCASA's National Provider Identifier is 1982430419, issued on Sep 11, 2024. 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 10, 2024.