Meredith Balsam Jones, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005933 Issued in NC

Practice address

1662 Booker Dairy Rd
Smithfield, NC 27577-9405

Phone

(919) 938-0046

Fax

(919) 938-0056

NPI assigned

Feb 21, 2008

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

Other names 1

• Mrs. Meredith Balsam Barrett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carolina Counseling & Consultation Services

  • Mental Health Counselor
  • Smithfield, NC
  • NPI 1902859333
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1922277144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1566",
            "address_2": "340 CAMERON DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276021566",
            "telephone_number": "919-291-2441",
            "fax_number": "919-209-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779405",
            "telephone_number": "919-938-0046",
            "fax_number": "919-938-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MEREDITH",
        "middle_name": "BALSAM",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "BARRETT",
            "middle_name": "BALSAM",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnston Specialty Physician Services,Inc (Johnston Medical Associates Cardiology)
• Johnston Surgical Associates, PA
• Leola Dawn Jones, RN
• Loryn Jones, MSW, LCSWA
• Melissa Gwyn Jones, MS, CCC-SLP
• Mia Jones, P.A.
• Raymond Derwin Jones, CFTS
• Renee Holloway Jones
• Sherrie Jones, COTA/L
• Thomas Jones Jr.

• Clinical Social Worker in Smithfield, NC
• Providers in Smithfield, 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, 2017; 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.