Individual provider Active NPI

Jessamyn Weis, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1740874791
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016274 Issued in NC
Practice address
19 Zillicoa St Ste 3
Asheville, NC 28801-1063
Phone
(828) 333-4907
Fax
(828) 412-3257
NPI assigned
Feb 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C016274 NC Primary

Addresses

Primary practice location

19 Zillicoa St Ste 3
Asheville, NC 28801-1063

Mailing address

19 Zillicoa St Ste 3
Asheville, NC 28801-1063
Phone (828) 333-8490

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
I20241220001778 NC Practitioner - Clinical Social Worker 6507393121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Out of the Woods Therapeutic Counseling, PLLC CurrentSince Oct 31, 2021 Accepting new patients
Henderson County Hospital Corporation CurrentSince Dec 15, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Dec 15, 2024 Accepting new patients

Locations

19 Zillicoa St
Ste 3
Asheville, NC 28801
Phone (828) 333-4907

96 Central Ave
Asheville, NC 28801
Phone (828) 409-9765

1027 Fleming St
Ste A
Hendersonville, NC 28791
Phone (828) 435-8140

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1613865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1740874791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ZILLICOA ST STE 3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011063",
            "telephone_number": "828-333-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ZILLICOA ST STE 3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011063",
            "telephone_number": "828-333-4907",
            "fax_number": "828-412-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "JESSAMYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-21",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.