Individual provider Active NPI

Jarrett R McGinnis, LCSW/LCAS

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1376205781
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016051 Issued in NC
Practice address
602 Yorktown Dr
Chapel Hill, NC 27516-3247
Phone
(828) 380-4263
NPI assigned
Oct 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-26604 NC
Clinical Social Worker 1041C0700X C016051 NC Primary

Addresses

Primary practice location

602 Yorktown Dr
Chapel Hill, NC 27516-3247

Mailing address

602 Yorktown Dr
Chapel Hill, NC 27516-3247

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-26604NCMDAddiction (Substance Use Disorder) Counselor
C016051NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1376205781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 YORKTOWN DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275163247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 YORKTOWN DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275163247",
            "telephone_number": "828-380-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "JARRETT",
        "middle_name": "R",
        "credential": "LCSW/LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-26604",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.