Jessica Meria Hendricks, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P007486 Issued in NC

Practice address

400 Glenwood Ave Ste 2
Kinston, NC 28501

Phone

(252) 429-1837

NPI assigned

Jan 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Port Human Services

  • Counselor
  • Greenville, NC
  • NPI 1477882694
  NPD (past)

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1558609602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 FLAGSTONE CT APT F2",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348797",
            "telephone_number": "252-314-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 GLENWOOD AVE STE 2",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-429-1837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 E Third St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278581801",
            "country_code": "US",
            "telephone_number": "252-752-2431",
            "fax_number": "252-561-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "JESSICA",
        "middle_name": "MERIA",
        "credential": "LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-24",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2882-A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Herschel Heck, DO
• Casey J Hefferly, M.S., R.D., LD/N
• Helping Hands Transport Services
• Abigail L Hemmings, PA-C
• Curtis Henderson Jr.
• Stephanie Inge Hendricks, SLP
• Mark Edward Henning, CRNA
• Mary Roseann Henslee, N.P.
• Jacqueline Herpich, RDN, LDN
• Hey Gurl Hair Company LLC.

• Clinical Social Worker in Kinston, NC
• Providers in Kinston, 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 Feb 11, 2019; 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.