Jessica Jeremiah, MSW, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008840 Issued in NC

Practice address

105 East Center Street
Suite B-11
Mebane, NC 27302-9725

Phone

(919) 239-5133

Fax

(704) 972-9749

NPI assigned

Apr 19, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1871850495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EAST CENTER STREET",
            "address_2": "SUITE B-11",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029725",
            "telephone_number": "919-239-5133",
            "fax_number": "704-972-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EAST CENTER STREET",
            "address_2": "SUITE B-11",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029725",
            "telephone_number": "919-239-5133",
            "fax_number": "704-972-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREMIAH",
        "first_name": "JESSICA",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humphrey Family Care Home
• I.C.a.R.E. Counseling Services, PLLC
• In Home Physical Therapy and Wellness of Mebane LLC
• Integrative Family Dentistry
• Lynnae Jennings
• Savannah Marie Jernigan-Gee, LCMHCA
• Jina K. Yoo, DMD, Ms, PC
• Shrease H. Johnson Thomas
• Marquetta Johnson, LICENSED PRACTICAL N
• Deanna Craven Jones

• Clinical Social Worker in Mebane, NC
• Providers in Mebane, 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 Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.