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

Individual provider Clinical Social Worker · NPI 1639513617

Mrs. Zina Jackson, LICSW is a Clinical Social Worker in Fuquay Varina, North Carolina. Qualified in 2011, 15 years ago. Practices with County of San Luis Obispo, an 11-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2013
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

201 E Academy St
Fuquay Varina, NC 27526-2248
Phone: (833) 529-8270
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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 21370 (MN)

Record details

NPI number1639513617
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 22, 2013
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice County Of San Luis Obispo — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fuquay Varina