Individual provider Active NPI

Jasmine Shavon Bethea, MSW,LCSW,LCAS

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1184984510
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018890 Issued in NC
Practice address
5 Onyx CT
Durham, NC 27703-2680
Phone
(919) 408-4945
NPI assigned
May 18, 2012
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-28029 NC
Clinical Social Worker 1041C0700X C018890 NC Primary
Clinical Social Worker 1041C0700X 149030065 IL

Addresses

Primary practice location

5 Onyx CT
Durham, NC 27703-2680

Mailing address

8041 Brier Creek Pkwy
# 1046
Durham, NC 27703-2680
Phone (919) 408-4945

Other practice location 1

8041 Brier Creek Pkwy # 1046
Raleigh, NC 27617-7596
Phone (919) 408-4945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251023002158 IL Practitioner - Clinical Social Worker 8820586548 Reassigns benefits to 1 organization
I20251118004343 NC Practitioner - Clinical Social Worker 8820586548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8041 Brier Creek Pkwy
Suite 1046
Raleigh, NC 27617-7596
Phone (919) 408-4945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-28029NCMDAddiction (Substance Use Disorder) Counselor
149030065ILMDClinical Social Worker
C018890NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Sep 17, 2025 Accepting new patients
Through Faith Counseling Clinical CurrentSince Sep 8, 2025 Accepting new patients
Glory Group Home Inc. Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities PastSince Feb 27, 2022 Accepting new patients
Sigma Health Services LLC Single Specialty Past Accepting new patients

Locations

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

8041 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 408-4945

Organizations & group practices 4

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1184984510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 BRIER CREEK PKWY",
            "address_2": "# 1046",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032680",
            "telephone_number": "919-408-4945",
            "fax_number": "919-913-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ONYX CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032680",
            "telephone_number": "919-408-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8041 Brier Creek Pkwy # 1046",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276177596",
            "country_code": "US",
            "telephone_number": "919-408-4945",
            "fax_number": "984-202-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETHEA",
        "first_name": "JASMINE",
        "middle_name": "SHAVON",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW,LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018890",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149030065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.