Judy Ann Marie Jamel, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017251 Issued in NC

Practice address

2801 Neuse Blvd
New Bern, NC 28562-2838

Phone

(252) 636-6007

Fax

(252) 672-0009

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Judy Ann Marie Pangborn Former name

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": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1356095855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LIVE OAK CT",
            "city": "MIDWAY PARK",
            "state": "NC",
            "postal_code": "285441664",
            "telephone_number": "252-503-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622838",
            "telephone_number": "252-636-6007",
            "fax_number": "252-672-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMEL",
        "first_name": "JUDY",
        "middle_name": "ANN MARIE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "PANGBORN",
            "middle_name": "ANN MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Ives
• J & S Care Inc.
• Kenyadah Jackson
• Morgan Marie Jacobs, PHARMD
• Bethanne Thumm Jacobson, PH.D.
• James M Hodges Jr DDS
• James M Zechman PC
• Amy Dawn James, PSYD
• Azaviah James
• Eric D. James, PT

• Clinical Social Worker in New Bern, NC
• Providers in New Bern, 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 Feb 4, 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.