Jessica Lynn Nowadly, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012396 Issued in NC

Practice address

5692 Siler St
Trinity, NC 27370-8989

Phone

(585) 683-0441

NPI assigned

Nov 27, 2019

Last updated

Mar 13, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Made to Bloom Counseling, PLLC

  • Mental Health Counselor
  • Trinity, NC
  • NPI 1336096510

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1902442791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 SILER ST",
            "city": "TRINITY",
            "state": "NC",
            "postal_code": "273708989",
            "telephone_number": "585-683-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5692 SILER ST",
            "city": "TRINITY",
            "state": "NC",
            "postal_code": "273708989",
            "telephone_number": "585-683-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWADLY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Naturile Haneline
• Kaytrell Jones
• Made to Bloom Counseling, PLLC
• Corrine Louise Mfune, COTA/L
• Lisa R Miller, BS,IBCLC,RLC
• Reshma Dilipkumar Patel, COTA
• Resilient Roots Counseling & Wellness PLLC
• Denise Cadle Rhew, PHD,RN,CNS,CEN
• Patricia Hunter Rich, SLP
• Erin Rollinson Riley, DNP, APRN, FNP-BC

• Clinical Social Worker in Trinity, NC
• Providers in Trinity, 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 Mar 13, 2026; 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.