Active NPI
Jessica Lorene Debnam, LCSW
- Clinical Social Worker
- Hickory, NC
National Provider Identifier
1124746979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C015739
- Practice address
- 451 Catawba Valley Blvd
Hickory, NC 28602-9631 - Phone
- (828) 328-2289
- Fax
- (828) 328-2992
- NPI assigned
- Aug 18, 2022
- 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 | C015739 | NC | Primary |
Addresses
Primary practice location
451 Catawba Valley Blvd
Hickory, NC 28602-9631
Mailing address
200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1900
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C015739 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Family Health Services, Inc | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients | |
| Gaston Family Health Services, Inc. | Current | Accepting new patients |
Locations
3050 Riverwood Pkwy
Ste B
Gastonia, NC 28056
Phone (704) 865-1749
991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000
200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904
451 Catawba Valley Blvd
Hickory, NC 28602
Phone (828) 328-2289
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1215932215
-
- Federally Qualified Health Center (FQHC)
- Gastonia, NC
- NPI 1306644315
-
- Federally Qualified Health Center (FQHC)
- Hickory, NC
- NPI 1124636873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1124746979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524358",
"telephone_number": "704-874-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 CATAWBA VALLEY BLVD",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029631",
"telephone_number": "828-328-2289",
"fax_number": "828-328-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBNAM",
"first_name": "JESSICA",
"middle_name": "LORENE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C015739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.