Carolyn Denise Jackson, LCSW, LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Wilmington, North Carolina. Her current practice location is
3205 Randall Pkwy Ste 121, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 520-6083.
Carolyn Denise Jackson is licensed to practice in North Carolina (license number C011298) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689805657.
Healthcare Provider's Profile
Full Name | Carolyn Denise Jackson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3205 Randall Pkwy Ste 121, Wilmington, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carolyn Denise Jackson attended and graduated from in
NPI Data:
- NPI Number: 1689805657
- Provider Enumeration Date: 08/07/2009
- Last Update Date: 05/04/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carolyn Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689805657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 22913 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C011298 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Denise Jackson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolyn Denise Jackson, LCSW, LCAS-A 3205 Randall Pkwy Ste 121, Wilmington, NC 28403-2567 Ph: (910) 520-6083 | Carolyn Denise Jackson, LCSW, LCAS-A 3205 Randall Pkwy Ste 121, Wilmington, NC 28403 Ph: (910) 520-6083 |
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