Individual provider Active NPI

Jane Carol Zill, L.I.C.S.W.

  • Clinical Social Worker
  • Hayesville, NC
National Provider Identifier
1225240732
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
287 Issued in NH
Practice address
325 Ashe Point Dr
Hayesville, NC 28904-4760
Phone
(603) 498-1844
Fax
(888) 466-2674
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107215 MA
Clinical Social Worker 1041C0700X C013780 NC
Clinical Social Worker 1041C0700X LC18483 ME
Clinical Social Worker 1041C0700X 089.0134244 VT
Clinical Social Worker 1041C0700X 287 NH Primary

Addresses

Primary practice location

325 Ashe Point Dr
Hayesville, NC 28904-4760

Mailing address

325 Ashe Point Dr
Hayesville, NC 28904-4760
Phone (603) 498-1844

Other identifiers 2

IdentifierTypeStateIssuer
11716287OtherNHCAQH
1403889Y0NH01OtherNHBLUE CROSS AND BLUE SHIEL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 888-466-2674 Health Information Exchange (HIE) SRFAX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926003788 NC Practitioner - Clinical Social Worker 2264440866 Practice locations: Hayesville, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

325 Ashe Point Dr
Hayesville, NC 28904-4760
Phone (603) 498-1844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107215MAMDClinical Social Worker
LC18483MEMDClinical Social Worker
C013780NCMDClinical Social Worker
089.0134244VTMDClinical Social Worker
287NHMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1225240732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ASHE POINT DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289044760",
            "telephone_number": "603-498-1844",
            "fax_number": "888-466-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ASHE POINT DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289044760",
            "telephone_number": "603-498-1844",
            "fax_number": "888-466-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILL",
        "first_name": "JANE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107215",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013780",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC18483",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0134244",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11716287",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "1403889Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "888-466-2674",
            "affiliation": "Y",
            "endpointDescription": "fax",
            "affiliationName": "SRFAX",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 Ashe Point Dr",
            "city": "Hayesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "289044760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

Verify at the official NPI Registry.