Individual provider Active NPI

Jasmine Ayers, LCSW-A

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1184128696
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P012266 Issued in NC
Practice address
307 Beech St
Goldsboro, NC 27530-2818
Phone
(919) 731-2119
Fax
(919) 739-4989
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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 P012266 NC Primary

Addresses

Primary practice location

307 Beech St
Goldsboro, NC 27530-2818

Mailing address

4203 Hewitt St Apt 5C
Greensboro, NC 27407-2055
Phone (919) 222-9028

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

LicenseStateTypeSpecialty
P012266NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
B & D Integrated Health Services East Inc PastSince Jun 16, 2024 Accepting new patients
One to One With Youth, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1184128696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 HEWITT ST APT 5C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274072055",
            "telephone_number": "919-222-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BEECH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275302818",
            "telephone_number": "919-731-2119",
            "fax_number": "919-739-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "JASMINE",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.