Individual provider Active NPI

Jaime Lynn Flores, LCSW

  • Clinical Social Worker
  • Jacksonville, NC
National Provider Identifier
1316358229
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C012509 Issued in NC
Practice address
2457 Gum Branch Rd Ste 800
Jacksonville, NC 28540-4008
Phone
(910) 238-2774
Fax
(910) 387-0757
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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 C012509 NC Primary

Addresses

Primary practice location

2457 Gum Branch Rd Ste 800
Jacksonville, NC 28540-4008

Mailing address

1519 Riggs Rd
Maysville, NC 28555-9692
Phone (760) 782-7935

Other practice location 1

900 Dennis Rd
Jacksonville, NC 28546-7287
Phone (760) 782-7935

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
I20220218000041 NC Practitioner - Clinical Social Worker 0749674646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Psychological and Psychiatric Health SRVS PAGroup PAC ID 9436059219, 17 clinicians

Practice addresses (Care Compare)

1703 Country Club Rd
Suite 204
Jacksonville, NC 28546-6006
Phone (910) 347-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C012509NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychological and Psychiatric Health SRVS, PA Clinical CurrentSince Apr 15, 2024 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC Clinical PastSince Apr 15, 2024 Accepting new patients

Locations

900 Dennis Rd
Jacksonville, NC 28546
Phone (910) 347-3010

1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010

Organizations & group practices 2

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1316358229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 RIGGS RD",
            "city": "MAYSVILLE",
            "state": "NC",
            "postal_code": "285559692",
            "telephone_number": "760-782-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 GUM BRANCH RD STE 800",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404008",
            "telephone_number": "910-238-2774",
            "fax_number": "910-387-0757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Dennis Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285467287",
            "country_code": "US",
            "telephone_number": "760-782-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JAIME",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.