MR. JEROME L ELLIS
NPI 1023008638
Social Worker - Clinical in Goldsboro, NC

Active since October 25, 2005
2803 MEDICAL CAMPUS DR., SEYMOUR JOHNSON AFB, GOLDSBORO, NC 27531(919) 722-0969 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jerome L Ellis NPPES

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

MR. JEROME L ELLIS (NPI 1023008638) is an individual clinical provider in Goldsboro, North Carolina, licensed in North Carolina (C004119) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1023008638
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEROME L ELLIS
Location Address2803 MEDICAL CAMPUS DR., SEYMOUR JOHNSON AFBGoldsboro, NC 27531-2310
Mailing Address1050 Jabarrah Ave, Seymour Johnson AfbGoldsboro, NC 27531-2310 · (919) 722-0928 · Fax (919) 722-1952
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
NPI 1023008638 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 · C004119
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.

2803 MEDICAL CAMPUS DR., Goldsboro, NC 27531

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
2803 MEDICAL CAMPUS DR.
SEYMOUR JOHNSON AFB, ND 27531
Psychologist (Clinical)
2803 MEDICAL CAMPUS DR., SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
Psychologist (Clinical)
2803 MEDICAL CAMPUS DR., SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531
General Practice
2803 MEDICAL CAMPUS DR.
GOLDSBORO, NC 27531
Social Worker (Clinical)
2803 MEDICAL CAMPUS DR.
GOLDSBORO, NC 27531
Optometrist
2803 MEDICAL CAMPUS DR., SEYMOUR JOHNSON AFB
GOLDSBORO, NC 27531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023008638, enumerated as an "individual" on October 25, 2005.

The provider is located at 2803 MEDICAL CAMPUS DR. SEYMOUR JOHNSON AFB GOLDSBORO, NC 27531 and the phone number is (919) 722-0969.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.