Active NPI
Jessica Gordon Talbert, MSW
- Clinical Social Worker
- Shelby, NC
National Provider Identifier
1083901144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P005417
- Practice address
- 425C Cherryville Rd
Shelby, NC 28150-3651 - Phone
- (704) 484-2558
- Fax
- (704) 484-2042
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P005417 | NC | Primary |
Addresses
Primary practice location
425C Cherryville Rd
Shelby, NC 28150-3651
Mailing address
PO Box 2053
Shelby, NC 28151-2053
Phone (704) 484-2558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P005417 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Homes of Cleveland County | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1083901144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2053",
"city": "SHELBY",
"state": "NC",
"postal_code": "281512053",
"telephone_number": "704-484-2558",
"fax_number": "704-484-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425C CHERRYVILLE RD",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503651",
"telephone_number": "704-484-2558",
"fax_number": "704-484-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBERT",
"first_name": "JESSICA",
"middle_name": "GORDON",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P005417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
- Survivor Friendly, LLC (Manelines Unique Boutique)
- Amber Nicole Swanner, RD
- Sweet Caroline Assisted Living LLC
- Anita Jean Szabo, LCSW
- Taylor Michelle Szucs, PA-C
- Tanyi's Respite & Habilitation Services
- Tanyi's Respite and Habilation Services,Inc
- Tanyi's Respite and Habilitation Services
- Andrew John Taylor, MD
- Rebecca Marie Taylor, LPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.