Jennifer Ann Drisker, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P011658 Issued in NC

Practice address

119 West Avenue
Kannapolis, NC 28081

Phone

(757) 478-0366

Fax

(704) 392-1921

NPI assigned

Aug 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1245755222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 OAKDALE CREEK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165818",
            "telephone_number": "757-478-0366",
            "fax_number": "704-392-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST AVENUE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "28081",
            "telephone_number": "757-478-0366",
            "fax_number": "704-392-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P011658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Dombrowski, L.P.C.
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• Dr. Sanchez & Associates
• Margot C Dragon, L. AC.
• Ann Busser Driver, LPC
• DRS. Johal, Dunning & Associates VI, P.a.
• Vestillia Shaunta Duggins
• Victoria Ann Hunter Dulin
• Henry D Duncan, DDS

• Clinical Social Worker in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.