Jessie Ann Jefferys, MSW, LCSWA, LCASA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P019565 Issued in NC

Practice address

3315 Open Field LN Apt 424
Charlotte, NC 28226-1057

Phone

(919) 896-9431

NPI assigned

Aug 29, 2023

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

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

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolinas Medical Center

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1275774333
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1437934320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 OPEN FIELD LN APT 424",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261057",
            "telephone_number": "919-896-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 OPEN FIELD LN APT 424",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261057",
            "telephone_number": "919-896-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERYS",
        "first_name": "JESSIE",
        "middle_name": "ANN",
        "credential": "MSW, LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "P019565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Lou Jefferson
• Amari Jefferson, LMSW, LCSWA
• Breana Jefferson
• Darlishia Le'Shawn Jefferson, AU.D
• Jasmine Angelic Jefferson, LCSWA
• Kendra Nicole Jeffress
• Jeffrey Chad Johnson DDS PLLC
• Jeffrey D Hutcheson, DMD, PA
• Jeffrey F West DDS PA
• Arleatha Jeffrey, LCSW

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.

Verify at the official NPI Registry.