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 .
- 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 - Additional location
-
610 Varsity Dr
Wilmington, NC 284038444
Show 1 more location
Credentials & registration
- 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
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
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 this city , average services per provider: 154. This provider delivers 0.6× the peer median.