Individual provider Active NPI

Jennifer Jane Riebesell, LCSW

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1972111946
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015231 Issued in NC
Practice address
3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002
Phone
(704) 874-9005
Fax
(704) 874-9001
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C015231 NC Primary
Clinical Social Worker 1041C0700X P014970 NC

Addresses

Primary practice location

3050 Riverwood Pkwy Ste B
Gastonia, NC 28056-6002

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904

Other practice location 1

2721 X Ray Dr
Gastonia, NC 28054-7491
Phone (704) 874-2255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200727000065 NC Practitioner - Clinical Social Worker 7618391434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Sep 25, 2024 Accepting new patients
The Next Right Thing Counseling PLLC Clinical Past Accepting new patients

Locations

3050 Riverwood Pkwy
Ste B
Gastonia, NC 28056
Phone (704) 865-1749

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

2721 X Ray Dr
Gastonia, NC 28054
Phone (704) 853-5079

Interoperability endpoints

  • Direct secure messaging: jriebesell303625@direct.ochin.org

Organizations & group practices 3

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1972111946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904",
            "fax_number": "704-864-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 RIVERWOOD PKWY STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280566002",
            "telephone_number": "704-874-9005",
            "fax_number": "704-874-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2721 X Ray Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547491",
            "country_code": "US",
            "telephone_number": "704-874-2255",
            "fax_number": "704-810-7417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEBESELL",
        "first_name": "JENNIFER",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015231",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.