Individual provider Active NPI

Jamie Nash Waugaman, MSW, LCSW

  • Clinical Social Worker
  • Elizabeth City, NC
National Provider Identifier
1891940995
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006231 Issued in NC
Practice address
905 Halstead Blvd Ste 14
Elizabeth City, NC 27909-6815
Phone
(252) 338-9006
Fax
(252) 331-2539
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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 C006231 NC Primary

Addresses

Primary practice location

905 Halstead Blvd Ste 14
Elizabeth City, NC 27909-6815

Mailing address

239 Ivy Neck Rd
Camden, NC 27921-7568
Phone (252) 336-4860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006231NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arrow Counseling and Wellness Clinical CurrentSince Apr 13, 2025 Accepting new patients

Locations

905 Halstead Blvd
Ste 28
Elizabeth City, NC 27909
Phone (252) 384-8685

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1891940995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 IVY NECK RD",
            "city": "CAMDEN",
            "state": "NC",
            "postal_code": "279217568",
            "telephone_number": "252-336-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD STE 14",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096815",
            "telephone_number": "252-338-9006",
            "fax_number": "252-331-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAUGAMAN",
        "first_name": "JAMIE",
        "middle_name": "NASH",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.