Individual provider Active NPI

Jessica Wood Fleishman

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1679288260
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009836 Issued in NC
Practice address
711 Executive PL FL 3
Fayetteville, NC 28305-5193
Phone
(910) 615-3387
NPI assigned
Jan 18, 2023
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522003323 NC Practitioner - Clinical Social Worker 8123460169 Reassigns benefits to 2 organizations

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
Recon Neurology and PsychiatryGroup PAC ID 3870965924, 20 clinicians

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

OrganizationSpecialtyStatusNew patients
Grace Behavioral Health PLLC Clinical Current Accepting new patients
Wakemed Clinical CurrentSince Apr 8, 2024 Accepting new patients
Recon Neurology & Psychiatry CurrentSince Jul 11, 2024 Accepting new patients
Wakemed CurrentSince Apr 8, 2024 Accepting new patients
Pinehurst Womens Clinic PA PastSince Jan 1, 2003 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.