Vanessa Alexander

Individual provider Active NPI Clinical Social Worker · Jacksonville, NC

NPI 1982419982 · NPPES record last updated Feb 8, 2025

Key facts

NPI
1982419982
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
PO21788 (NC)
Practice address
10 Dewitt St Ste 2
Jacksonville, NC 28540-5649
Phone
(910) 333-1004
NPI assigned
Feb 8, 2025
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PO21788NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling, PLLC Clinical Past
since Jan 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X PO21788 NC Yes

Addresses

Primary practice location

10 Dewitt St Ste 2
Jacksonville, NC 28540-5649

Mailing address

229 Ennett LN
Sneads Ferry, NC 28460-9168

Other providers in Jacksonville, NC

All providers in Jacksonville, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.