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Mellissa Forde-jackson, LCSW
Clinical Social Worker in Fayetteville, North Carolina
NPI 1922406842

Mellissa Forde-jackson is a Clinical Social Worker based in Fayetteville, NC and is specialized in Clinical. Mellissa Forde-jackson practices in Fayetteville, NC and has the professional credentials of LCSW. The NPI Number for Mellissa Forde-jackson is 1922406842 and holds a License No. C010681 (North Carolina).

The current practice location address for Mellissa Forde-jackson is 911 Hay St, Fayetteville, NC and can be reached out via phone at 910-827-6649 and via fax at 910-438-0942.

Location: 911 Hay St, Fayetteville, NC, 28303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922406842
Provider Name
Mellissa Forde-jackson
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
911 Hay St, Fayetteville, NC, 28303
Phone Number
910-827-6649
Fax Number
910-438-0942
Provider Enumeration Date
12/09/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C010681 01 NC NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD
institution
Provider Business Practice Location Address Details
Address
911 Hay St
City
Fayetteville
State
North Carolina
Zip
28305-5313
Phone Number
910-827-6649
Fax Number
910-438-0942
person
Provider Business Mailing Address Details
Address
911 Hay St
City
Fayetteville
State
North Carolina
Zip
28305-5313
Phone Number
910-827-6649
Fax Number
910-438-0942
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C010681 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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