Individual provider Active NPI

Jessica Chenille Lazenby, LCSW

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1871153197
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C018639 Issued in NC
Practice address
7610 Falls of Neuse Rd Ste 290
Raleigh, NC 27615-3307
Phone
(919) 321-9702
Fax
(919) 321-9703
NPI assigned
Jun 18, 2019
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 C018639 NC Primary

Addresses

Primary practice location

7610 Falls of Neuse Rd Ste 290
Raleigh, NC 27615-3307

Mailing address

7610 Falls of Neuse Rd Ste 290
Raleigh, NC 27615-3307
Phone (919) 321-9702

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
I20251016004853 NC Practitioner - Clinical Social Worker 0840787305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2416 Bedgood Dr SW
Wilson, NC 27893-8515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C018639NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Clinical CurrentSince Sep 19, 2025 Accepting new patients
Pride in North Carolina, LLC CurrentSince Sep 19, 2025 Accepting new patients
S&H Youth and Adult Services, Inc. PastSince Oct 20, 2020 Accepting new patients

Locations

231 Commerce St
Greenville, NC 27858
Phone (252) 321-8080

7610 Falls of Neuse Rd
Ste 290
Raleigh, NC 27615
Phone (919) 321-9702

5710 Oleander Dr
Ste 112
Wilmington, NC 28403
Phone (910) 769-1785

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1871153197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 FALLS OF NEUSE RD STE 290",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153307",
            "telephone_number": "919-321-9702",
            "fax_number": "919-321-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 FALLS OF NEUSE RD STE 290",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153307",
            "telephone_number": "919-321-9702",
            "fax_number": "919-321-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "JESSICA",
        "middle_name": "CHENILLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C018639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.