IndividualActive
Tisha Jacobs, LCSWA
NPI 1164264719 · Student Health Clinic/Center · Raeford, NC
Provider details
- NPI number
- 1164264719
- Entity type
- Individual
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- License
- P022526 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7489 Rockfish Rd
Raeford, NC 28376-6131
Phone: (910) 584-6739
Fax: (833) 260-0543
Street-level locationGet directions
Mailing address
236 Katie Buie Rd
Red Springs, NC 28377-4600
Additional practice locations (1)
- 236 Katie Buie RdRed Springs, NC 28377-4600Phone: (706) 304-8870
Registry dates
- Enumerated
- 2024-06-12
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.