Active NPI
Jean Harvey Kerr, M.S.W.
- Clinical Social Worker
- Rocky Mount, NC
National Provider Identifier
1831138973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003360
- Practice address
- 3701B Sunset Ave
Rocky Mount, NC 27804-3327 - Phone
- (252) 937-7732
- Fax
- (252) 937-7981
- NPI assigned
- Jun 5, 2006
- 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 | C003360 | NC | Primary |
Addresses
Primary practice location
3701B Sunset Ave
Rocky Mount, NC 27804-3327
Mailing address
4417 Hansford Dr
Rocky Mount, NC 27803-1188
Phone (252) 937-7732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003068 | Medicaid | NC | |
| 137F4 | Other | NC | BCBS |
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 |
|---|---|---|---|
| C003360 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831138973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4417 HANSFORD DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278031188",
"telephone_number": "252-937-7732",
"fax_number": "252-937-7981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701B SUNSET AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043327",
"telephone_number": "252-937-7732",
"fax_number": "252-937-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "JEAN",
"middle_name": "HARVEY",
"name_prefix": "Ms.",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003068",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "137F4",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- 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.