Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASMINE DETRICE ELLISON, LCSW-A
Active Sole ProprietorJASMINE DETRICE ELLISON, LCSW-A is a Clinical Social Worker healthcare provider located in GOLDSBORO, North Carolina. NPI 1003796467 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GOLDSBORO, NC
Registration Details
- NPI Number
- 1003796467
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2025 (0.93296539244565 yrs)
- Last Updated
- Oct 24, 2025
- License
-
P022642 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1503 WAYNE MEMORIAL DR STE EGOLDSBORO, NC, 275342203Browse NC providers · Browse ZIP 27534
- Phone
- 9195870001
- Fax
- 9195870007
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in GOLDSBORO, NC
| Name | Credential | NPI |
|---|---|---|
| MS. TERRY M WILSON | LCSW | 1184611832 |
| MS. CARLA D ATKINS | — | 1952390916 |
| MR. JEROME L ELLIS | — | 1023008638 |
| LINDA NEWSOME | LCSW | 1952377673 |
| DONALD CECIL NEAL JR. | LCSW | 1831130053 |
| CHERYL ANN HARRISON | LCSW, LPC | 1568499127 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.