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

Individual provider Clinical Social Worker · NPI 1316164924

Mrs. Stacia Jackson Marcellin, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Licensed in Maryland and North Carolina. Registered with an NPI since 2007.

Licensed in
MD, NC
In the registry since
2007
Specialties on file
3
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

5145 Avening Ct
Charlotte, NC 28215-8075
Phone: (704) 405-7403
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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 C006185 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence G11976 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence P003952 (NC)

Record details

NPI number1316164924
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESNovember 30, 2017

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