Jameka Wasson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018273 Issued in NC

Practice address

2634 Durham Chapel Hill Blvd Ste 4
Durham, NC 27707-2877

Phone

(919) 402-8738

Fax

(919) 869-2341

NPI assigned

Nov 18, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tonya Omar, PLLC

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1174710248

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1700595634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 DURHAM CHAPEL HILL BLVD STE 4",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072877",
            "telephone_number": "919-402-8738",
            "fax_number": "919-869-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 DURHAM CHAPEL HILL BLVD STE 4",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072877",
            "telephone_number": "919-402-8738",
            "fax_number": "919-869-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "JAMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@theayacenter.org",
            "affiliation": "N",
            "address_1": "2634 Durham Chapel Hill Blvd Ste 4",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277072877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lanise Washington
• Michelle Washington
• Ulaine Rita Washington, P-LCSW, LCAS-P
• Anna Wasserman
• Steven Wasserman, M.D.
• Robert George Wasson
• Erin Wasylyk
• Diana Kathleen Waters, MD
• Kevin Waters, M.D.
• Leslie M Waters

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Nov 18, 2022; 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.