Lisette Angela Jimenez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P019691 Issued in NC

Practice address

257 Biltmore Ave
Asheville, NC 28801-4120

Phone

(828) 285-0622

NPI assigned

Aug 2, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1871275644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HATCHER CIRCLE",
            "address_2": "UNIT 307",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28806",
            "telephone_number": "828-216-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014120",
            "telephone_number": "828-285-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "LISETTE",
        "middle_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wncchs.org",
            "affiliation": "N",
            "address_1": "257 Biltmore Ave",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288014120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesse Gronback Counseling Services
• Adam D Jessup, AU.D
• Jewish Family Services of WNC, Inc.
• Jillian Kelly
• Caille Jimenez, SRNA
• Jo Jo Speech, PLLC
• Jody S. Harrison, DDS, Ms, PLLC
• John C Faherty
• John Richard Counseling PLLC
• John W Robinson, III, DMD, PLLC

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, 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 Aug 28, 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.