Jessica Rose Phipps, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C009159 Issued in NC

Practice address

805 Newington Dr
Clemmons, NC 27012-8838

Phone

(336) 747-3051

NPI assigned

Sep 12, 2012

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Inhale Counseling PLLC

  • Community/Behavioral Health Agency
  • Clemmons, NC
  • NPI 1417757980
  NPD Authorized official
• Wellmood PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1154182368
  NPD
• Complete Care Partners LLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1114437563
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1518217033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 NEWINGTON DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128838",
            "telephone_number": "336-747-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NEWINGTON DR",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128838",
            "telephone_number": "336-747-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W Williams (Williams Chiropractic)
• Audra Pavlansky, LMFT
• Mariel Pfiffner, MA
• Alma L Pfirman
• Austin Taylor Phillips, PHARM.D., R.PH.
• Piedmont Community Physicians PC
• Piedmont Community Physicians PC
• Piedmont Community Physicians, PC
• Piedmont Medical Solutions, Inc.
• Piedmont Psychiatric Associates PA

• Clinical Social Worker in Clemmons, NC
• Providers in Clemmons, 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 Mar 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.