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

Jason Timothy Branch, LCSWA

Individual provider Clinical Social Worker · NPI 1588220354

Jason Timothy Branch, LCSWA is a Clinical Social Worker in Fayetteville, North Carolina. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
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Practice location Address checks out

2106 Hope Mills Rd
Fayetteville, NC 28304-4226
Phone: (910) 860-7008
Fax: (910) 221-9006
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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 C015261 (NC)

Record details

NPI number1588220354
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedMay 16, 2019
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fayetteville