Individual provider Active NPI

Sharon G Jeanes, LCSW

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1376896274
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009295 Issued in NC
Practice address
696 N Spence Ave
Goldsboro, NC 27534-4354
Phone
(919) 330-4147
NPI assigned
Oct 17, 2012
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912001985 NC Practitioner - Clinical Social Worker 5395248579 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
C009295NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Simplicity Counseling Services PLLC Clinical CurrentSince Aug 1, 2025 Accepting new patients
B & D Integrated Health Services East Inc PastSince Jun 16, 2024 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.

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

Verify at the official NPI Registry.