MARY-JACQUELINE DELORES KERSEY (NPI# 1174020333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174020333 |
| Entity Type | Individual |
| Full Name | MARY-JACQUELINE DELORES KERSEY |
| Credential | LCSWA |
| Practice Address |
110 W Walker Ave Asheboro NC 27203 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 3366337000 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
25600-A | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 350 Holly Hill Ln Ste B, Burlington, NC 272155691 | 9193078165 |
| Street Address |
110 W WALKER AVE |
| City | ASHEBORO |
| State | NC |
| Zip Code | 27203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649249038 | Amer Qureshi | Psychiatry & Neurology | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2006-03-16 |
| 1427675552 | Rachel Dimaio Swaim | Counselor | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2020-07-06 |
| 1982241527 | Laura Cannon Maness | Licensed Practical Nurse | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-12-03 |
| 1083251615 | Lauren Marie Dacal | Social Worker | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-12-02 |
| 1629615257 | Brooklynn Coggins | Social Worker | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-12-02 |
| 1912548173 | William David Neufer Batchelor | Counselor | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-09-30 |
| 1336700947 | Janice K Troxler | Clinical Nurse Specialist | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-06-25 |
| 1659931780 | Kerri Suzanne Johnson | Clinical Nurse Specialist | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-06-20 |
| 1356901698 | Ciara Lin Mcneill | Social Worker | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-06-18 |
| 1437713617 | Cathy Paschal Jones | Clinical Nurse Specialist | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1689151912 | Earth Angels Home Care | In Home Supportive Care | 167 Macarthur St., Asheboro, NC 27203 | 2018-07-19 |
| 1518485333 | Katherine Hall Kruppenbach | Nurse Practitioner | 223 W Ward St Ste B, Asheboro, NC 27203 | 2017-08-31 |
| 1912429705 | Julie Yates Allsbrook | Pharmacist | 363 Sunset Avenue, Asheboro, NC 27203 | 2017-07-12 |
| 1932651452 | Joshua Knight | Physician Assistant | 197 Nc-42, Asheboro, NC 27203 | 2016-11-01 |
| 1053862391 | Jamie Lauren Webb | Physician Assistant | 197 North Carolina 42 East, White Oak Urgent Care, Asheboro, NC 27203 | 2016-10-21 |
| 1780936146 | Randolph County Senior Adults Association, Inc. | Non-emergency Medical Transport (VAN) | 133 West Wainman Ave., Asheboro, NC 27203 | 2012-10-10 |
| 1730472515 | Maggie Wright Fetner | Dentist | 202 N. Cox St, Asheboro, NC 27203 | 2011-05-26 |
| 1144528944 | Central Piedmont Surgery Center LLC | Clinic/Center | 724 Thomas Street, Asheboro, NC 27203 | 2011-03-03 |
| 1669785614 | Easter Seals Ucp North Carolina & Virginia, Inc. | Case Management | 624 S Fayetteville St, Suite E, Asheboro, NC 27203 | 2010-07-20 |
| Find all providers in zip 27203 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114480316 | James G Billings | Counselor | 350 N Cox St Ste 16, Asheboro, NC 27203-5514 | 2019-04-13 |
| 1639429905 | Donna Odell | Counselor | 131 Davis St, Asheboro, NC 27203-5470 | 2012-09-14 |
| 1457644791 | Jakia Danielle Marshall | Counselor | 987 Redwood Dr, Asheboro, NC 27205-0926 | 2011-05-19 |
| 1376728832 | Family Service of The Piedmont | Counselor | 513 White Oak St # C, Asheboro, NC 27203-4770 | 2008-01-03 |
| 1164579637 | Gailmarie Anjuli | Counselor | 842 E Pritchard St, Asheboro, NC 27203-4800 | 2007-01-05 |
| 1265546030 | Program Resource Institute, Inc. | Counselor | 157 Dublin Square Rd Ste P, Asheboro, NC 27203-8691 | 2006-08-18 |
| 1932154408 | Behavioral Associates of Asheboro | Counselor | 547 N. Fayettevillie Street, Asheboro, NC 27205 | 2006-05-23 |
| 1366427320 | Harold Gino Lilly | Counselor | 723 S Cox St, Asheboro, NC 27203-6461 | 2005-12-13 |
| 1568925766 | Serena A Velez | Counselor | 350 N Cox St Ste 16, Asheboro, NC 27203-5514 | 2019-04-13 |
| 1629573258 | Asmyne De'trice Brooks | Counselor | 110 W Walker Ave, Asheboro, NC 27203-6760 | 2018-03-26 |
| Find all providers in ASHEBORO | ||||
Please comment or provide details below to improve the information on MARY-JACQUELINE DELORES KERSEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.