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

Mr. Jacobe Leon Douglas, MSA, CCM, LCSWA

Individual provider Clinical Social Worker · NPI 1649148305

Mr. Jacobe Leon Douglas, MSA, CCM, LCSWA is a Clinical Social Worker in Haw River, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

104 Cone Dr Unit 351
Haw River, NC 27258-9662
Phone: (201) 819-1473
Fax: (336) 217-8532
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 P018932 (NC)

Record details

NPI number1649148305
Entity typeIndividual (Type 1)
GenderMale
Credentials MSA , CCM , LCSWA
Sole proprietorYes
NPI enumeratedOctober 24, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025