JASMINE DETRICE ELLISON LCSW-A
NPI 1003796467
Social Worker - Clinical in Goldsboro, NC

Active since September 05, 2025
1503 WAYNE MEMORIAL DR STE E, GOLDSBORO, NC 27534(919) 587-0001(919) 587-0007 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasmine Detrice Ellison Lcsw-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE DETRICE ELLISON LCSW-A (NPI 1003796467) is an individual clinical provider in Goldsboro, North Carolina, licensed in North Carolina (P022642) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1003796467
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJASMINE DETRICE ELLISONCredential: LCSW-A
Location Address1503 WAYNE MEMORIAL DR STE EGoldsboro, NC 27534-2203
Mailing Address1503 Wayne Memorial Dr Ste EGoldsboro, NC 27534-2203 · (919) 587-0001 · Fax (919) 587-0007
Fax(919) 587-0007
Sole ProprietorYes
Enumeration DateSeptember 5, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 5, 2025
NPI 1003796467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P022642
Definition
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.
1503 WAYNE MEMORIAL DR STE E, Goldsboro, NC 27534

Accepted Insurance

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Counselor (Mental Health)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534
Social Worker (Clinical)
1503 WAYNE MEMORIAL DR STE E
GOLDSBORO, NC 27534

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmine Ellison's NPI number?

The NPI number for Jasmine Ellison is 1003796467. It was assigned to this individual provider in the NPPES registry on September 5, 2025.

Where is Jasmine Ellison located?

Jasmine Ellison practices at 1503 Wayne Memorial Dr Ste E, Goldsboro, NC 27534. The listed phone number is (919) 587-0001.

What is Jasmine Ellison's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Jasmine Ellison accept?

Health plans from Blue Cross and Blue Shield of NC list Jasmine Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jasmine Ellison was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.