Individual provider Active NPI

Jennifer Marie Eisbrener, LCSW

  • Clinical Social Worker
  • Newton, NC
National Provider Identifier
1265027114
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013346 Issued in NC
Practice address
3975 Robinson Rd
Newton, NC 28658-9715
Phone
(828) 466-0466
Fax
(828) 466-8862
NPI assigned
Mar 3, 2021
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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 C013346 NC Primary

Addresses

Primary practice location

3975 Robinson Rd
Newton, NC 28658-9715

Mailing address

3975 Robinson Rd
Newton, NC 28658-9715
Phone (828) 466-0466

Other practice location 1

301 E Centerview St
China Grove, NC 28023-2554
Phone (828) 466-0599

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jeisbrener@carolinacaring.org
Direct Messaging Address jeisbrener@carolinacaring.org

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1265027114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589715",
            "telephone_number": "828-466-0466",
            "fax_number": "828-466-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 ROBINSON RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286589715",
            "telephone_number": "828-466-0466",
            "fax_number": "828-466-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Centerview St",
            "address_purpose": "LOCATION",
            "city": "China Grove",
            "state": "NC",
            "postal_code": "280232554",
            "country_code": "US",
            "telephone_number": "828-466-0599",
            "fax_number": "828-466-8862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISBRENER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeisbrener@carolinacaring.org",
            "affiliation": "N",
            "address_1": "3975 Robinson Rd",
            "city": "Newton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286589715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeisbrener@carolinacaring.org",
            "affiliation": "N",
            "address_1": "301 E Centerview St",
            "city": "China Grove",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280232554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.