Johnathon Jackson, LCSWA
NPI 1407743164 · Clinical Social Worker · Fayetteville, NC
Johnathon Jackson, LCSWA is a Clinical Social Worker provider in Fayetteville, NC (NPI 1407743164).
Provider details
- NPI number
- 1407743164
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSWA
- Sex
- Male
- Sole proprietor
- Yes
- License
- P022036 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Johnathon Jackson's NPI number?
- Johnathon Jackson's National Provider Identifier (NPI) is 1407743164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathon Jackson's specialty?
- Johnathon Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Johnathon Jackson located?
- Johnathon Jackson's practice location on file with NPPES is 351 Wagoner Dr Ste 411, Fayetteville, NC 28303-4608.
- What is Johnathon Jackson's phone number?
- The practice phone number listed in the NPPES registry for Johnathon Jackson is (910) 994-2818.
- Is Johnathon Jackson's NPI active?
- Yes — Johnathon Jackson's NPI (1407743164) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.