| Mr Thomas Jackson, MSW, P-LCSW | |
|
5240 Creed Dr, Summerfield, NC 27358-8284 | |
| (336) 686-1314 | |
| (336) 686-1314 |
| Full Name | Mr Thomas Jackson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 5240 Creed Dr, Summerfield, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255698759 | NPI | - | NPPES |
| P006086 | Other | NC | NORTH CAROLINA SOCIAL WORK CERTIFICATION & LICENSURE BOARD LICENSE # P006086 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | P006086 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Jackson, MSW, P-LCSW 5240 Creed Dr, Summerfield, NC 27358-8284 Ph: (336) 686-1314 | Mr Thomas Jackson, MSW, P-LCSW 5240 Creed Dr, Summerfield, NC 27358-8284 Ph: (336) 686-1314 |
Ms. Anne Callan Cunningham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8238 William Wallace Dr, Summerfield, NC 27358 Phone: 336-908-1843 Fax: 336-275-9522 |