Doctor profile · Federal record

Dr. Carolyn Jackson, LCSW, LCAS-A

Clinical Social Worker · Addiction (Substance Use Disorder) Counselor · Wilmington, NC

  • NPI 1689805657
  • Accepts Medicare
  • 17 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 4 locations .

NPPES Updated May 11, 2026
Primary practice
3205 Randall Pkwy Ste 121
Wilmington, NC 28403
(910) 520-6083
Additional location
1213 Culbreth Dr
Wilmington, NC 284053639
Additional location
44 Dream Ave
Delco, NC 284368700
(910) 655-0698
Show 1 more location
Additional location
610 Varsity Dr
Wilmington, NC 284038444

Credentials & registration

NPPES · NUCC
NPI registered
August 2009 — 17 yrs on file
Profile last updated
May 4, 2019
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
North Carolina #C011298 · North Carolina #22913

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1689805657. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
94
Distinct HCPCS
2
Medicare allowed
$10,147
HCPCS Description Services Patients Avg allowed
90837 Psychotherapy, 1 hour 81 13 $105
90791 Psychiatric diagnostic evaluation 13 13 $124

In context: peer comparison

Among 20 peers in Wilmington Clinical Social Worker, average services per provider: 154. This provider delivers 0.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Carolyn Jackson's medical specialty?
Dr. Carolyn Jackson practices Clinical Social Worker in Wilmington, NC.
Where does Dr. Carolyn Jackson practice?
Dr. Carolyn Jackson practices at 3205 Randall Pkwy Ste 121, Wilmington, NC 28403. Office phone: 9105206083.
What is Dr. Carolyn Jackson's NPI?
Dr. Carolyn Jackson's National Provider Identifier (NPI) is 1689805657, issued by NPPES.
Does Dr. Carolyn Jackson accept Medicare assignment?
Yes. Dr. Carolyn Jackson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Carolyn Jackson commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.