Active NPI
Jimmy Guess I, MSW,ACSW,LCSW
- Clinical Social Worker
- Greensboro, NC
National Provider Identifier
1235504283
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C00242
- Practice address
- 3818 N Elm St Ste E
Greensboro, NC 27455-2778 - Phone
- (336) 508-2203
- Fax
- (336) 545-5996
- NPI assigned
- Dec 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | C00242 | NC | Primary |
Addresses
Primary practice location
3818 N Elm St Ste E
Greensboro, NC 27455-2778
Mailing address
3818 North Elm Street ,Suite E
Greensboro, NC 27455-2777
Phone (336) 508-2203
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C00242 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1235504283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3818 NORTH ELM STREET ,SUITE E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552777",
"telephone_number": "336-508-2203",
"fax_number": "336-545-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3818 N ELM ST STE E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552778",
"telephone_number": "336-508-2203",
"fax_number": "336-545-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUESS",
"first_name": "JIMMY",
"name_suffix": "I",
"credential": "MSW,ACSW,LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C00242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.