Jeanine Rochelle Wilkerson, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013525 Issued in NC

Practice address

304C W Union St
Morganton, NC 28655-3729

Phone

(828) 655-3134

Fax

(828) 475-6197

NPI assigned

Feb 28, 2020

Last updated

Nov 27, 2023By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strategic Interventions, LLC

  • Community/Behavioral Health Agency
  • Morganton, NC
  • NPI 1659642361
  NPD (past)

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1871127753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 POPLAR GROVE CT",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286816925",
            "telephone_number": "317-875-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304C W UNION ST",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286553729",
            "telephone_number": "828-655-3134",
            "fax_number": "828-475-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JEANINE",
        "middle_name": "ROCHELLE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jeanine.wilkerson@nccare.net",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "STRATEGIC INTERVENTIONS, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "304C W Union St",
            "city": "Morganton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286553729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larry Davis Whitlock, MA
• Kevin A Wicker, CPO
• Rodney Wike, PMHNP-BC
• Jamie Madison Wilbourne, DNP FNP-BC
• Jessica Marie Wiles-Williamson, LPC-A
• William Kingery DDS PA
• William T Link, DDS PA
• Caroline Marie Williams, M.S., CCC-SLP
• Deborah Troutman Williams, PAC
• Nicole L Williams

• Clinical Social Worker in Morganton, NC
• Providers in Morganton, 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 Nov 27, 2023; 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.