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

Jacob Wiltshire, LCSWA

Individual provider Social Worker · NPI 1902423924

Jacob Wiltshire, LCSWA is a Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

101 E Wt Harris Blvd Ste 5500
Charlotte, NC 28262-3485
Phone: (704) 863-5558
Fax: (704) 863-6161
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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 P012451 (NC)
Social Worker Taxonomy 104100000X · Licence P012451 (NC)

Record details

NPI number1902423924
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESJune 26, 2020
Certification dateJune 26, 2020

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