Jessica Lanette Baker
Individual provider Active NPI Clinical Social Worker · Goldsboro, NC
NPI 1891405262 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1891405262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C018035 (NC)
- Practice address
- 1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240 - Phone
- (919) 734-6676
- Fax
- (919) 238-7919
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2221 Pauls Penny LN
Raleigh, NC 27603-5845
PO Box
Atlanta, GA 30353
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250319004216 | NC | Practitioner - Clinical Social Worker | 6507388444 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Clinical | Current |
Accepting new patients |
| Waynesboro Family Clinic | Current |
Accepting new patients | |
| Lifesource of North Carolina | Clinical | Current |
Accepting new patients |
| Wayne Cares Inc. | Past |
Accepting new patients |
Locations
1706 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 734-6676
3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C018035 | NC | Yes |
| Clinical Social Worker | 1041C0700X | P017856 | NC |
Addresses
Primary practice location
1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240
Mailing address
1706 Wayne Memorial Dr
Goldsboro, NC 27534-2240
Phone (919) 734-6676
Other practice location 1
3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone (910) 742-9243
Other providers in Goldsboro, NC
- Brittany Bailey
- C. Dianne Bailey
- Jamal Bailey
- Lynnette Sauls Bailey
- Valerie S Bailey
- Nicholas Baker
- Raymond Earl Baker
- Rhonda Renee Baker
- Shatrice Pelar Baker
- Munira Baldiwala
All providers in Goldsboro, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.