Active NPI
Jessica Wood Fleishman
- Clinical Social Worker
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009836
- Practice address
- 711 Executive PL FL 3
Fayetteville, NC 28305-5193 - Phone
- (910) 615-3387
- NPI assigned
- Jan 18, 2023
- Last updated
- Apr 15, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | ||
| Clinical Social Worker | 1041C0700X | C009836 | NC | Primary |
Addresses
Primary practice location
711 Executive PL FL 3
Fayetteville, NC 28305-5193
Mailing address
711 Executive PL FL 3
Fayetteville, NC 28305-5193
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8000
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1340 Walter Reed Rd
Suite 202
Fayetteville, NC 28304-4451
Phone (910) 504-3506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Behavioral Health PLLC | Clinical | Current | Accepting new patients |
| Wakemed | Clinical | Current | Accepting new patients |
| Recon Neurology & Psychiatry | Current | Accepting new patients | |
| Wakemed | Current | Accepting new patients | |
| Pinehurst Womens Clinic PA | Past | Accepting new patients |
Locations
120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
1340 Walter Reed Rd
Ste 202
Fayetteville, NC 28304
Phone (910) 504-3506
1357 Walter Reed Rd
Ste 101
Fayetteville, NC 28304
Phone (910) 504-3506
400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400
70 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-4342
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953
2021 Wendell Valley Blvd
Wendell, NC 27591
Phone (919) 350-8137
764 Walnut Knoll Ln
Cordova, TN 38018
Phone (901) 756-5565
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBCJCD
Organizations & group practices 5
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.
-
- Neurology Physician
- Fayetteville, NC
- NPI 1427769140
-
dba WakeMed Professional Physicians Staff
- Internal Medicine Physician
- Raleigh, NC
- NPI 1194907717
Clinical
-
- Clinical Social Worker
- Fayetteville, NC
- NPI 1194585174
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- Obstetrics & Gynecology Physician
- Pinehurst, NC
- NPI 1427106186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1679288260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 EXECUTIVE PL FL 3",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 EXECUTIVE PL FL 3",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055193",
"telephone_number": "910-615-3387"
}
],
"practiceLocations": [
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276101231",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEISHMAN",
"first_name": "JESSICA",
"middle_name": "WOOD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.