Jessica Allyn Efird, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005129 Issued in NC

Practice address

212 Le Phillip CT
Suite 106
Concord, NC 28025-2984

Phone

(704) 782-3004

Fax

(704) 782-3005

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720120785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 PEACH ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280835131",
            "telephone_number": "704-502-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 LE PHILLIP CT",
            "address_2": "SUITE 106",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252984",
            "telephone_number": "704-782-3004",
            "fax_number": "704-782-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFIRD",
        "first_name": "JESSICA",
        "middle_name": "ALLYN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106478",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin John Edwards, PA
• Kyndall Chase Edwards
• Latia A. Edwards, LCMHC
• Rachael Edwards
• Shaquille Edwards, LCSW-A
• Kari Eger, MS, CCC-SLP
• Ehomecare
• Kaitlin Karol Eibeler, NP
• Derek James Eichler, MD
• Jalal Zeyad El-Akawi, MD

• Clinical Social Worker in Concord, NC
• Providers in Concord, 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 Jul 8, 2007; 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.