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Search › North Carolina › Clinical Social Worker

Mellissa Forde-Jackson, LCSW

NPI 1922406842 · on the registry since 2014 · sole proprietor

Practice

Address
911 Hay St
Fayetteville, NC 28305
Phone
(910) 827-6649
Fax
(910) 438-0942
Organisation at this address
Carolina Outreach, Llc
Carolina Outreach, Llc
Carolina Outreach And Care
Goshen Medical Center, Incorporated
Alternative Care Treatment Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina