Jahkira Decole Bennett, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020545 Issued in NC

Practice address

407 S Griffin St Ste J
Elizabeth City, NC 27909-4693

Phone

(252) 331-0322

NPI assigned

Jul 30, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jahkira Bennett Other 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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1427887207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HAMPTON DR",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621616",
            "telephone_number": "252-325-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S GRIFFIN ST STE J",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094693",
            "telephone_number": "252-331-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JAHKIRA",
        "middle_name": "DECOLE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAHKIRA",
            "last_name": "BENNETT",
            "credential": "LCSWA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacey Ann Beneck, PA-C
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• Christian Derek Bentley, M.D.
• Jennifer Elias Bertoluzzi, D.P.T.
• BHG Lxxxi, LLC (BHG Medical Services - North Carolina)
• Bigmerica Inc (Help Systems of Health Care)
• Bigmerica, Inc (Foundation Health and Human Services)

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, 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 Jul 30, 2024; 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.