Jalessa Shanice Cherry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012726 Issued in NC

Practice address

123 Professional Park Dr Ste 101
Mooresville, NC 28117-5516

Phone

(704) 749-9560

Fax

(833) 918-2112

NPI assigned

Jun 14, 2017

Last updated

Jun 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jalessa.cherry.1@21505.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eleanor Health Professional NC, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1639718406
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1013447960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 ARBOR GREEN WAY",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622267",
            "telephone_number": "252-259-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 PROFESSIONAL PARK DR STE 101",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175516",
            "telephone_number": "704-749-9560",
            "fax_number": "833-918-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2023 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016600",
            "country_code": "US",
            "telephone_number": "910-763-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "JALESSA",
        "middle_name": "SHANICE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011599",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Kerr Chatterton, M.A.
• Emalee L Chavez
• Veronica Lynn Cheek, LCMHCS
• Robert Chien-Yuan Chen, M.D.
• Keith Warren Cheney, LMFT
• Lynn Ann Chiappelli, CNM
• Ashley Chickering, LCSWA
• Child & Family Therapy Center, PC
• Jennifer Ann Childers, AGACNP-BC
• Chirolife Wellness Center, PLLC (ChiroLife Mooresville)

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.