Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEROME L ELLIS
ActiveMR. JEROME L ELLIS is a Clinical Social Worker healthcare provider located in GOLDSBORO, North Carolina. NPI 1023008638 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GOLDSBORO, NC
Registration Details
- NPI Number
- 1023008638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2005 (20.617015732175 yrs)
- Last Updated
- Dec 11, 2025
- License
-
C004119 (NC)
Practice Information
- Address
-
2803 MEDICAL CAMPUS DR.SEYMOUR JOHNSON AFBGOLDSBORO, NC, 275312310Browse NC providers · Browse ZIP 27531
- Phone
- 9197220969
- 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 |
| LINDA NEWSOME | LCSW | 1952377673 |
| DONALD CECIL NEAL JR. | LCSW | 1831130053 |
| CHERYL ANN HARRISON | LCSW, LPC | 1568499127 |
| WANDA SUE BRYANT | LCSW | 1467487256 |
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.