Individual provider Active NPI

Jerrica Garner, LCSWA

  • Social Worker
  • Winston Salem, NC
National Provider Identifier
1770210213
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P017888 Issued in NC
Practice address
1400 Old Mill Cir Ste a
Winston Salem, NC 27103-2977
Phone
(336) 893-7742
NPI assigned
Aug 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P017888 NC Primary

Addresses

Primary practice location

1400 Old Mill Cir Ste a
Winston Salem, NC 27103-2977

Mailing address

316 Century Blvd
Kernersville, NC 27284-3309
Phone (910) 336-3726

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

LicenseStateTypeSpecialty
P017888NCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Give Grace Youth & Family Counseling, PLLC Social Worker CurrentSince Sep 21, 2025 Accepting new patients

Locations

1400 Old Mill Cir
Ste A
Winston Salem, NC 27103
Phone (336) 893-7742

Organizations & group practices 1

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1770210213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CENTURY BLVD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843309",
            "telephone_number": "910-336-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD MILL CIR STE A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032977",
            "telephone_number": "336-893-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "JERRICA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P017888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.