Carolyn Jackson, LCSW, LCAS-A
NPI 1689805657 · Clinical Social Worker · Wilmington, NC
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolyn Jackson, LCSW, LCAS-A is a Clinical Social Worker provider in Wilmington, NC (NPI 1689805657).
Provider details
- NPI number
- 1689805657
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, LCAS-A
- Sex
- Female
- Sole proprietor
- Yes
- License
- 22913 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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
Mailing address
Additional practice locations (4)
- 44 Dream AveDelco, NC 28436-8700Phone: (910) 655-0698
- 3205 Randall Pkwy Ste 121Wilmington, NC 28403Phone: (910) 520-6083
- 610 Varsity DrWilmington, NC 28403-8444Phone: (910) 520-6083
- 1213 Culbreth DrWilmington, NC 28405-3639Phone: (910) 520-6083
Registry dates
- Enumerated
- 2009-08-07
- Last updated
- 2019-05-04
Frequently asked questions
- What is Carolyn Jackson's NPI number?
- Carolyn Jackson's National Provider Identifier (NPI) is 1689805657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Jackson's specialty?
- Carolyn Jackson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Carolyn Jackson located?
- Carolyn Jackson's practice location on file with NPPES is 3205 Randall Pkwy Ste 121, Wilmington, NC 28403.
- What is Carolyn Jackson's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Jackson is (910) 520-6083.
- Does Carolyn Jackson accept Medicare?
- Carolyn Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carolyn Jackson's NPI active?
- Yes — Carolyn Jackson's NPI (1689805657) is active in the NPPES registry as of the last update on 2019-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.