Individual provider Active NPI

Josselyn Marie Cedillo, MSW, LCSWA

  • Clinical Social Worker
  • Lincolnton, NC
National Provider Identifier
1508554155
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019601 Issued in NC
Practice address
803 N Aspen St
Lincolnton, NC 28092-2111
Phone
(704) 736-4234
Fax
(704) 735-3089
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 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 P019601 NC Primary

Addresses

Primary practice location

803 N Aspen St
Lincolnton, NC 28092-2111

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1907

Other practice location 1

2361 Startown Rd
Lincolnton, NC 28092-9524
Phone (704) 735-1120

Other practice location 2

1410 Highland Bluff Ct
Lincolnton, NC 28092-7387
Phone (704) 691-5999

Other practice location 3

170 Medical Park Rd Ste 208
Mooresville, NC 28117-8541
Phone (704) 237-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P019601NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Dec 22, 2024 Accepting new patients
Gaston Family Health Services, Inc PastSince Dec 8, 2024 Accepting new patients

Locations

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

803 N Aspen St
Lincolnton, NC 28092
Phone (704) 736-4234

Interoperability endpoints

  • Direct secure messaging: jcedillo759425@direct.ochin.org

Organizations & group practices 2

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1508554155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922111",
            "telephone_number": "704-736-4234",
            "fax_number": "704-735-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2361 Startown Rd",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280929524",
            "country_code": "US",
            "telephone_number": "704-735-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Highland Bluff Ct",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280927387",
            "country_code": "US",
            "telephone_number": "704-691-5999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Medical Park Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178541",
            "country_code": "US",
            "telephone_number": "704-237-4240",
            "fax_number": "704-785-8304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "JOSSELYN",
        "middle_name": "MARIE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.