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

Grace Glasgow Jackson, LCSWA, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1982430419

Grace Glasgow Jackson, LCSWA, LCASA is an Addiction (Substance Use Disorder) Counselor in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

3117 Poplarwood Ct Ste 115
Raleigh, NC 27604-1040
Phone: (919) 787-6131
Fax: (919) 571-2932
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P021281 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-30192 (NC)

Record details

NPI number1982430419
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA , LCASA
Sole proprietorNo
NPI enumeratedSeptember 11, 2024
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024

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