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

Mary P Jackson, LCSWA

Individual provider Clinical Social Worker · NPI 1922626191

Mary P Jackson, LCSWA is a Clinical Social Worker in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2020

Practice location Address checks out

4035 University Pkwy Ste 101
Winston Salem, NC 27106-3275
Phone: (336) 663-2751
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 P014930 (NC)

Record details

NPI number1922626191
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedJuly 13, 2020
Last updated in NPPESOctober 2, 2020
Certification dateAugust 2, 2020

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