CHARLES BARTLETT JACKSON JR.
NPI 1003149048
Social Worker - Clinical in Roxboro, NC
NPI Status: Active since September 09, 2009
Contact Information
355 S MADISON BLVD STE C1
ROXBORO, NC
ZIP 27573
Phone: (336) 599-8366
Fax: (336) 322-6168
- Individual
- Male
- Social Worker
- Clinical
About CHARLES JACKSON
This page provides the complete NPI Profile along with additional information for Charles Jackson, a provider established in Roxboro, North Carolina with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1003149048 assigned on September 2009. The practitioner's primary taxonomy code is 1041C0700X with license number C007168 (NC). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1003149048
- Provider Name
- CHARLES BARTLETT JACKSON JR.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 355 S MADISON BLVD STE C1 ROXBORO, NC 27573
- Location Phone
- (336) 599-8366
- Location Fax
- (336) 322-6168
- Mailing Address
- 355 S MADISON BLVD STE C1 ROXBORO, NC 27573
- Mailing Phone
- (336) 599-8366
- Mailing Fax
- (336) 322-6168
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-09-2009
- Last Update Date
- 09-06-2015
- Code Navigator
A clinical social worker like Charles Jackson is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C007168
- License State
- NC
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 1513 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q37125A | MEDICARE PIN (08) | NC | |
| 6112139 | MEDICAID (05) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 1 | 4 | 9 | 0 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 2 | 4 | 18 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 2 + 4 + 1 + 8 + 0 + 8 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1003149048 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427550359 | KATHY LYNN MEDLIN LMFTA Individual | Marriage & Family Therapist | 355 S MADISON BLVD STE C1 ROXBORO, NC 27573 (833) 800-1505 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003149048, enumerated in the NPI registry as an "individual" on September 09, 2009
The provider is located at 355 S Madison Blvd Ste C1 Roxboro, Nc 27573 and the phone number is (336) 599-8366
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 09, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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