Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mellissa Forde-Jackson, LCSW

Clinical Social Worker in Fayetteville, NC · enumerated 2014.

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

National Provider Identifier

1922406842

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Registry record

Entity type Individual (Type 1)

Name Mellissa Forde-Jackson

Credential LCSW

Sex Female

Practice address Fayetteville, NC, 28305

Phone (910) 827-6649

Fax (910) 438-0942

Enumeration date Dec 9, 2014

Last updated in NPPES Mar 8, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License C010681 (NC) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
C010681	Other	NC	NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD

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 specialty is Mellissa Forde-Jackson?

Mellissa Forde-Jackson is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-08.