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

Individual provider Clinical Social Worker · NPI 1225385156

Jessica Jazz Balletta, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
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

3937 Western Blvd
Raleigh, NC 27606-1936
Phone: (919) 821-0790
Fax: (919) 518-9476
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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 C012928 (NC)

Record details

NPI number1225385156
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 9, 2012
Last updated in NPPESMay 6, 2020
Certification dateMay 6, 2020

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