NPI
Carolyn Denise Jackson
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- LCSW, LCAS-A
- Type
- Individual
- Enumeration date
- 2009-08-07
- Last updated
- 2019-05-04
Specialties
Licenses
- License NC
- 22913
- License NC
- C011298
Location
- Practice location
- 3205 Randall Pkwy Ste 121
- City
- Wilmington NC
- Postal code
- 28403
- Phone
- (910) 520-6083
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Wilmington, NC. 8,728 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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