Active NPI
Ja'Vonta Dashon Edgerton, LCSWA
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1700796430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P024234
- Practice address
- 615 Shipyard Blvd
Wilmington, NC 28412-6431 - Phone
- (828) 424-6281
- NPI assigned
- Sep 8, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | P024234 | NC | Primary |
Addresses
Primary practice location
615 Shipyard Blvd
Wilmington, NC 28412-6431
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (828) 424-6281
Other practice location 1
311 S McNeil St
Burgaw, NC 28425-5015
Phone (910) 259-0668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1700796430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "828-424-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "828-424-6281"
}
],
"practiceLocations": [
{
"address_1": "311 S McNeil St",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284255015",
"country_code": "US",
"telephone_number": "910-259-0668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDGERTON",
"first_name": "JA'VONTA",
"middle_name": "DASHON",
"credential": "LCSWA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P024234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.