TISHA C JACOBS, LCSWA, Student Health RAEFORD, NC

Contact Information

TISHA C JACOBS, LCSWA

7489 ROCKFISH RD
RAEFORD, NC 28376-6131

Phone: 910-584-6739
Fax: 833-260-0543
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Student Health	261QS1000X
Clinical	1041C0700X	80	Licensed Clinical Social Worker

Indicates primary specialty

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NPI Profile & details for TISHA C JACOBS · (Female)

NPI #	`1164264719`
Status	Active
Credentials	LCSWA
Entity	Individual
Enumeration date	06/12/2024
Last updated	05/21/2026 - About 3 weeks ago
Sole proprietor ¹	Yes
Identifiers	NC License # P022526
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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