Jazmon Womack

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012855 Issued in NC

Practice address

4229 Yanceyville Rd Apt R
Browns Summit, NC 27214-8003

Phone

(336) 280-9796

NPI assigned

Jul 5, 2017

Last updated

Sep 27, 2021By 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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orinoco Wellness, LCGroup PAC ID 0648614099, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orinoco Wellness, LC

  • Mental Health Counselor
  • Graham, NC
  • NPI 1508577321
  Medicare reassignment Care Compare group NPD
• Little-Gerald Services

  • Community/Behavioral Health Agency
  • Monroe, NC
  • NPI 1093114670
  Medicare reassignment NPD
• Opportunities Industrialization Center, Inc.

  dba Oic Family Medical Center Guardian Court

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1396103305
  Medicare reassignment NPD
• Opportunities Industrialization Center, Inc

  dba Oic Family Medical Center LTC

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1932923950
  NPD

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1063933539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 TROXLER RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159187",
            "telephone_number": "336-570-0104",
            "fax_number": "336-570-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 YANCEYVILLE RD APT R",
            "city": "BROWNS SUMMIT",
            "state": "NC",
            "postal_code": "272148003",
            "telephone_number": "336-280-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "JAZMON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012855",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Wallace
• Wescare Professional Services, LLC.
• Felicia Williams-Cobbs, RN
• Crystal Dawn Williamson, LCMHCA
• Without Borders Collective PLLC
• Ashley Woods, LCSW
• Lee Melvin Woodson Jr., MS QP
• Youth Focus
• Glen Zelenak, M.A., LMFTA

• Clinical Social Worker in Browns Summit, NC
• Providers in Browns Summit, 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 Sep 27, 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.