Jennifer Upchurch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004481 Issued in NC

Practice address

7741 Market St
Ste a
Wilmington, NC 28411-9444

Phone

(910) 228-8522

Fax

(910) 498-0220

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer King Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Jennifer Upchurch, LCSW, PLLCGroup PAC ID 8325449036, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Jennifer Upchurch LCSW PLLC

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1265016422
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin Jones LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, NC
  • NPI 1932854619

  Clinical

  NPD
• Coastalcare

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1316006075
  NPD (past)
• Trinity Wellness Center of Wilmington Inc

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1841382173
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1023109337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7741 MARKET ST",
            "address_2": "STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119444",
            "telephone_number": "910-228-8522",
            "fax_number": "910-498-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 MARKET ST",
            "address_2": "STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284119444",
            "telephone_number": "910-228-8522",
            "fax_number": "910-498-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003480",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KING",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Unity & Grace PCS, LLC
• Unity Home Care, Inc
• Universal Mental Health Services, Inc.
• Universal Mobility
• Unraveling Counseling Services
• Upward Mobility Solutions (Ameriglide Accessibility Solutions)
• Richard Uranga Jr., LCSWA
• Daniel James Urban, PHARMD
• Ismael Aaron Urbina
• Urgent Care of Wilmington PA

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, 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 May 26, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.