Individual provider Active NPI

Jessica B Sconzo

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1164836243
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011154 Issued in NC
Practice address
6060 Piedmont Row Dr S Ste 511
Charlotte, NC 28287-3887
Phone
(848) 667-6021
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C011154 NC Primary

Addresses

Primary practice location

6060 Piedmont Row Dr S Ste 511
Charlotte, NC 28287-3887

Mailing address

6060 Piedmont Row Dr S Ste 511
Charlotte, NC 28287-3887
Phone (848) 667-6021

Other practice location 1

9 Harding Hwy
Pittsgrove, NJ 08318-4401
Phone (856) 358-4111 ext. 2017

Other practice location 2

5700 Executive Center Dr Ste 110
Charlotte, NC 28212-8833
Phone (704) 525-3255

Other names 1

  • Jessica B Sconzo Professional name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C011154NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1164836243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S STE 511",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873887",
            "telephone_number": "848-667-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S STE 511",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873887",
            "telephone_number": "848-667-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Harding Hwy",
            "address_purpose": "LOCATION",
            "city": "Pittsgrove",
            "state": "NJ",
            "postal_code": "083184401",
            "country_code": "US",
            "telephone_number": "856-358-4111 x2017",
            "fax_number": "856-358-4120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Executive Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128833",
            "country_code": "US",
            "telephone_number": "704-525-3255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCONZO",
        "first_name": "JESSICA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCONZO",
            "middle_name": "B",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.