Individual provider Active NPI

Jessica Moretz, LCSW

  • Clinical Social Worker
  • Southern Pines, NC
National Provider Identifier
1285365353
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017698 Issued in NC
Practice address
350 Shaw Ave
Southern Pines, NC 28387-6237
Phone
(910) 585-6092
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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 P017698 NC Primary

Addresses

Primary practice location

350 Shaw Ave
Southern Pines, NC 28387-6237

Mailing address

350 Shaw Ave
Southern Pines, NC 28387-6237
Phone (910) 585-6092

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
I20241211004076 NC Practitioner - Clinical Social Worker 4284160409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Reflections, PLLCGroup PAC ID 7315335742, 2 clinicians

Practice addresses (Care Compare)

350 Shaw Ave
Southern Pines, NC 28387-6237
Phone (910) 580-8280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P017698NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meaningful Connections Therapy, PLLC Clinical CurrentSince Feb 11, 2024 Accepting new patients
Healing Reflections, PLLC Clinical CurrentSince Nov 6, 2024 Accepting new patients
Salisbury Vamc PastSince Sep 1, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1285365353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SHAW AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876237",
            "telephone_number": "910-585-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SHAW AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283876237",
            "telephone_number": "910-585-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETZ",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.