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

Jenny Ketterer, LCSW

Individual provider Clinical Social Worker · NPI 1538756515

Jenny Ketterer, LCSW is a Clinical Social Worker in Jacksonville, North Carolina. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2440 Commerce Rd Ste 223
Jacksonville, NC 28546
Phone: (910) 459-9303
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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 C016074 (NC)

Record details

NPI number1538756515
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 24, 2020
Last updated in NPPESDecember 13, 2025
Certification dateDecember 13, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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