Active NPI
Sharon G Jeanes, LCSW
- Clinical Social Worker
- Goldsboro, NC
National Provider Identifier
1376896274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009295
- Practice address
- 696 N Spence Ave
Goldsboro, NC 27534-4354 - Phone
- (919) 330-4147
- NPI assigned
- Oct 17, 2012
- Last updated
- Jul 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C009295 | NC | Primary |
Addresses
Primary practice location
696 N Spence Ave
Goldsboro, NC 27534-4354
Mailing address
125 Cricket Ridge Rd
Mount Olive, NC 28365-8115
Phone (192) 228-0909
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
125 Cricket Ridge Rd
Mount Olive, NC 28365-8115
2006 Wayne Memorial Dr
Goldsboro, NC 27534-1720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009295 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simplicity Counseling Services PLLC | Clinical | Current | Accepting new patients |
| B & D Integrated Health Services East Inc | Past | Accepting new patients | |
| One to One With Youth, Inc. | Past | Accepting new patients |
Locations
696 N Spence Ave
Ste A
Goldsboro, NC 27534
Phone (919) 330-4147
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba One to One
- Community/Behavioral Health Agency
- Goldsboro, NC
- NPI 1194567461
-
- Community/Behavioral Health Agency
- Goldsboro, NC
- NPI 1861587867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1376896274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CRICKET RIDGE RD",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283658115",
"telephone_number": "192-228-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "696 N SPENCE AVE",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275344354",
"telephone_number": "919-330-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANES",
"first_name": "SHARON",
"middle_name": "G",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.