Active NPI
Jasmine Marie Peace, LCSWA
- Clinical Social Worker
- Greensboro, NC
National Provider Identifier
1619714276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P021132
- Practice address
- 319 S Westgate Dr Ste D
Greensboro, NC 27407-1632 - Phone
- (866) 700-1606
- NPI assigned
- Jul 11, 2024
- Last updated
- Aug 12, 2024
- 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 | P021132 | NC | Primary |
Addresses
Primary practice location
319 S Westgate Dr Ste D
Greensboro, NC 27407-1632
Mailing address
PO Box 8879
Asheville, NC 28814-8879
Phone (828) 329-7264
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
| License | State | Type | Specialty |
|---|---|---|---|
| P021132 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparc Network | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1619714276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8879",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288148879",
"telephone_number": "828-329-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S WESTGATE DR STE D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071632",
"telephone_number": "866-700-1606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACE",
"first_name": "JASMINE",
"middle_name": "MARIE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P021132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
- Peace of Mind Behavioral Health Services
- Peace of Mind Community Care, LLC
- Peace of Mind Lab & Testing Services
- Peace Physical Therapy LLC
- Peace Zone Home Care, Inc
- Peaceful Pathways Therapeutic Services, PLLC
- Peachtree Learning Collaborative
- Stephanie Olga Peacock, MD
- Pear Manor
- Donna (Gail) Williams Pearson, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.