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

Charles Bartlett Jackson Jr.

Individual provider Clinical Social Worker · NPI 1003149048

Charles Bartlett Jackson Jr. is a Clinical Social Worker in Roxboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
2

Practice location Address checks out

355 S Madison Blvd Ste C1
Roxboro, NC 27573-5485
Phone: (336) 599-8366
Fax: (336) 322-6168
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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 C007168 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 1513 (NC)

Record details

NPI number1003149048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 9, 2009
Last updated in NPPESSeptember 6, 2015
Mailing address355 S Madison Blvd Ste C1, Roxboro, NC 27573-5485

Other providers in Roxboro