Active NPI
Jazneek Tavounia Wiggins, MSW, LCSWA
- Clinical Social Worker
- Smithfield, NC
National Provider Identifier
1720920705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P020453
- Practice address
- 1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876 - Phone
- (919) 934-1312
- Fax
- (919) 934-1080
- NPI assigned
- Apr 8, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020453 | NC | Primary |
Addresses
Primary practice location
1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876
Mailing address
1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876
Phone (919) 934-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020453 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pride in North Carolina, LLC | Past | Accepting new patients | |
| Pride in North Carolina, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Greenville, NC
- NPI 1760420186
Clinical
-
- Community/Behavioral Health Agency
- Jacksonville, NC
- NPI 1821136581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1720920705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 N BRIGHTLEAF BLVD STE F",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774876",
"telephone_number": "919-934-1312",
"fax_number": "919-934-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 N BRIGHTLEAF BLVD STE F",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774876",
"telephone_number": "919-934-1312",
"fax_number": "919-934-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "JAZNEEK",
"middle_name": "TAVOUNIA",
"credential": "MSW, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P020453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.