IndividualActive
Jacobe Douglas, MSA, CCM, LCSWA
NPI 1649148305 · Clinical Social Worker · Haw River, NC
Provider details
- NPI number
- 1649148305
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSA, CCM, LCSWA
- Sex
- Male
- Sole proprietor
- Yes
- License
- P018932 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
104 Cone Dr Unit 351
Haw River, NC 27258-9662
Phone: (201) 819-1473
Fax: (336) 217-8532
Approximate (ZIP-level) locationGet directions
Mailing address
104 Cone Dr Unit 351
Haw River, NC 27258-9662
Registry dates
- Enumerated
- 2025-10-24
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.