JESSICA MERIA HENDRICKS (NPI# 1558609602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558609602 |
| Entity Type | Individual |
| Full Name | JESSICA MERIA HENDRICKS |
| Credential | LCAS |
| Practice Address |
400 Glenwood Ave Ste 2 Kinston NC 28501 |
| Mailing Address |
2124 Flagstone Ct Apt F2 Greenville NC 27834-8797 |
| Practice Telephone | 2524291837 |
| Mailing Telephone | 2523144038 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2882-A | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P007486 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 114 E Third St, Greenville, NC 278581801 | 2527522431 | 2525618080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852722 | Jessica Hendricks | Registered Nurse | 920 Oliver Rd # B, Monroe, LA 71201-5702 | 2020-05-07 |
| 1245876333 | Jessica Hendricks | Nurse Practitioner | 7430 Jean Dr, West Chester, OH 45069-2659 | 2019-11-23 |
| 1659556348 | Jessica A Hendricks | Specialist | 145 S 19th St, Lynden, WA 98264-1724 | 2008-01-01 |
| 1891284691 | Jessica Hendricks | Occupational Therapist | 6520 University Ave Spc 5, Lubbock, TX 79413-5811 | 2018-05-07 |
| 1578942553 | Jessica Hendricks | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2015-05-25 |
| 1417371501 | Jessica Hendricks | Social Worker | 1200 N West Ave, Suite 300, Jackson, MI 49202-2179 | 2014-02-10 |
| 1720412299 | Jessica Jannette Hendricks | Nurse Practitioner | 618 Memorial Dr, Chilton, WI 53014-1568 | 2013-09-02 |
| 1881954386 | Jessica Lauren Hendricks | Physical Therapist | 2045 Broadwater Ave, Suite 3, Billings, MT 59102-4810 | 2012-05-18 |
| 1265720023 | Jessica Hendricks | Nurse Practitioner | 2776 Cleveland Ave, Fort Myers, FL 33901-5864 | 2011-07-14 |
| Street Address |
400 GLENWOOD AVE STE 2 |
| City | KINSTON |
| State | NC |
| Zip Code | 28501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| 1982980504 | Jennifer Renee Escarcega | Chiropractor | 2601 North Herritage Street, Kinston, NC 28501 | 2011-10-27 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808436 | Leticia Loperena | Social Worker | 400 Glenwood Ave Ste 15, Kinston, NC 28501-3851 | 2018-04-20 |
| 1598261927 | Ashley Parrott Cox Hurdle | Social Worker | 213 S Queen St, Kinston, NC 28501-4935 | 2018-04-04 |
| 1255762209 | Kenyada Maye | Social Worker | 2200 Phillips Farm Rd, Kinston, NC 28501-7248 | 2013-12-02 |
| 1588927255 | Steven David Zell | Social Worker | 201 N Queen St, Ste 3b, Kinston, NC 28501-4980 | 2012-06-19 |
| 1295098978 | Joyce Singleton Thomas | Social Worker | 712 W Lenoir Ave, Kinston, NC 28501-4108 | 2012-06-19 |
| 1467772384 | Deborah Lee Pickard | Social Worker | 1100 W Vernon Ave, Kinston, NC 28501-3616 | 2010-06-02 |
| 1528200979 | Leychia Edwards Patterson | Social Worker | 2700 Brookhaven Dr, Kinston, NC 28504-1102 | 2009-04-01 |
| 1659598266 | Allen Greene | Social Worker | 2901 N. Heritage St, Kinston, NC 28501-0000 | 2007-04-18 |
| 1982829750 | Donna Ramsey | Social Worker | 327 N Queen St Ste 121, Kinston, NC 28501-4986 | 2007-04-16 |
| 1346397825 | Glenn E. Bunch Jr. | Social Worker | 1001 Hardee Rd, Suite A, Kinston, NC 28501-0000 | 2007-01-05 |
| Find all providers in KINSTON | ||||
Please comment or provide details below to improve the information on JESSICA MERIA HENDRICKS.
| 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.