Connie King-Jerome, MSW,LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P022906 Issued in NC

Practice address

503 US 70 Hwy E Ste R
Garner, NC 27529-4058

Phone

(919) 322-9294

NPI assigned

Oct 1, 2025

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Direct Realistic Counseling Service

  • Mental Health Counselor
  • Garner, NC
  • NPI 1760039937

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1588538797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SOUTHGATE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105096",
            "telephone_number": "919-332-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 US 70 HWY E STE R",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294058",
            "telephone_number": "919-322-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-JEROME",
        "first_name": "CONNIE",
        "credential": "MSW,LCSW-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faisal Mahmood Khan, MD, MBBS
• Kaleb Kibbs
• Mikala Kilpatrick
• Camerin Claudette Kimble
• Derrick Brian Kimrey
• Dylan King, PHARMD
• Joanna King
• Kingdom Healthcare Management
• Perry J Kirch, DC
• Gary John Kirkegaard, PHARM. D.

• Clinical Social Worker in Garner, NC
• Providers in Garner, 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 Oct 1, 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.