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Charles Bartlett Jackson Jr.

Clinical Social Worker in Roxboro, NC · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003149048

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Registry record

Entity type Individual (Type 1)
Name Charles Bartlett Jackson Jr.
Sex Male
Practice address 355 S Madison Blvd Ste C1, Roxboro, NC, 27573
Phone (336) 599-8366
Fax (336) 322-6168
Enumeration date Sep 9, 2009
Last updated in NPPES Sep 6, 2015

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C007168 (NC) Primary
101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 1513 (NC) Secondary

Other identifiers

Identifier Type State Issuer
6112139 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Charles Jackson?
The National Provider Identifier (NPI) for Charles Jackson is 1003149048, a Type 1 (individual) record in the CMS NPPES registry.
Where does Charles Jackson practice?
The practice location on file with NPPES is in Roxboro, NC. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-06.