Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jon Wayne Eccleston II, LCSW

Individual provider Clinical Social Worker · NPI 1306937750

Mr. Jon Wayne Eccleston II, LCSW is a Clinical Social Worker in Indian Trail, North Carolina. Qualified in 2000, 26 years ago. Practices as a sole proprietor and offers telehealth. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2006
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

124 Unionville Indian Trl Rd W Ste A1
Indian Trail, NC 28079-5591
Phone: (704) 608-0445
Fax: (704) 821-9337
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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 C004734 (NC)

Record details

NPI number1306937750
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESSeptember 21, 2011

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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