Individual provider Active NPI

Jamie Colleen Roberts, LCSWA

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1508380189
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO11634 Issued in NC
Practice address
5013 Wrightsville Ave
Wilmington, NC 28403-7045
Phone
(191) 079-6686
Fax
(910) 796-6868
NPI assigned
Jul 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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 PO11634 NC Primary

Addresses

Primary practice location

5013 Wrightsville Ave
Wilmington, NC 28403-7045

Mailing address

137 Pine Village Dr
Rocky Point, NC 28457-8997
Phone (910) 978-0618

Other names 1

  • Jamie Warren-Warner Former name

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
I20200601002941 NC Practitioner - Clinical Social Worker 2062833957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Helping Hand of Wilmington, LLCGroup PAC ID 0042351652, 3 clinicians

Practice addresses (Care Compare)

5013 Wrightsville Ave
Wilmington, NC 28403-7045
Phone (910) 796-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO11634NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
A Helping Hand of Wilmington Clinical CurrentSince Apr 24, 2020 Accepting new patients

Locations

5013 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 796-6868

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1508380189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PINE VILLAGE DR",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578997",
            "telephone_number": "910-978-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037045",
            "telephone_number": "191-079-6686",
            "fax_number": "910-796-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JAMIE",
        "middle_name": "COLLEEN",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "PO11634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "WARREN-WARNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.