Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Jackson, LISW-S, LICDC

Individual provider Clinical Social Worker · NPI 1710180872

Carol Jackson, LISW-S, LICDC is a Clinical Social Worker in Fayetteville, Arkansas. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007

Practice location Address checks out

1100 N College Ave
Fayetteville, AR 72703-1944
Phone: (479) 444-4044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I 0028219 (OH)

Record details

NPI number1710180872
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S , LICDC
Sole proprietorNo
NPI enumeratedJune 7, 2007
Last updated in NPPESMay 26, 2015

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