Active NPI
Jasmine Latrice Johnson
- Clinical Social Worker
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C016728
- Practice address
- 1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159 - Phone
- (336) 515-5000
- NPI assigned
- May 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C016728 | NC | Primary |
Addresses
Primary practice location
1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159
Mailing address
5759 Cross Creek Cir Apt D
Indianapolis, IN 46254-4730
Phone (773) 682-6691
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240518000573 | NC | Practitioner - Clinical Social Worker | 4385085547 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3064 Wake Forest Rd
Suite 1271
Raleigh, NC 27609-7844
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C016728 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Brightside Medical of New Jersey, P.C. | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Salisbury Vamc | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Therapeutic Connections, PLLC | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
24 Battleground Ct
Ste A
Greensboro, NC 27408
Phone (336) 907-4054
931 3rd St
Greensboro, NC 27405
Phone (336) 890-2700
700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
1695 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 515-5000
3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3349
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
NC
-
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
- Department of Veterans Affairs (VA) Pharmacy
- Kernersville, NC
- NPI 1982652723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1619543733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5759 CROSS CREEK CIR APT D",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544730",
"telephone_number": "773-682-6691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 KERNERSVILLE MEDICAL PKWY",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847159",
"telephone_number": "336-515-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JASMINE",
"middle_name": "LATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-30",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C016728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.