| Charles Bartlett Jackson Jr, | |
|
355 S Madison Blvd Ste C1, Roxboro, NC 27573-5485 | |
| (336) 599-8366 | |
| (336) 322-6168 |
| Full Name | Charles Bartlett Jackson Jr |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 355 S Madison Blvd Ste C1, Roxboro, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003149048 | NPI | - | NPPES |
| 6112139 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C007168 (North Carolina) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1513 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Bartlett Jackson Jr, 355 S Madison Blvd Ste C1, Roxboro, NC 27573-5485 Ph: (336) 599-8366 | Charles Bartlett Jackson Jr, 355 S Madison Blvd Ste C1, Roxboro, NC 27573-5485 Ph: (336) 599-8366 |
David Kozak, MSW, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 N Main St Ste 216, Roxboro, NC 27573 Phone: 336-322-0657 | |
Herbert Clifford Brown, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, Roxboro, NC 27573 Phone: 336-330-8000 | |
Mrs. Crissy Sue Schmieder, LCSW A, LCAS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 S Madison Blvd Ste F, Roxboro, NC 27573 Phone: 336-322-3739 | |
Karen Landis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 245 Semora Rd, Roxboro, NC 27573 Phone: 919-698-6255 | |
Ellen K. Mcrae, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 355 S Madison Blvd Ste C, Roxboro, NC 27573 Phone: 919-630-0587 | |
Signe Offenberg, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 355 C South Madison Blvd, Roxboro, NC 27573 Phone: 336-599-8366 |