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MARY-JACQUELINE DELORES KERSEY LCSWA
NPI 1174020333
Counselor - Addiction (Substance Use Disorder) in Gastonia, NC

Active since April 12, 2018
549 COX RD, GASTONIA, NC 28054(704) 332-9001 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2020, Mar 12, 2020, Apr 23, 2019 and 2 more (5 updates tracked since 2018).

About Mary-jacqueline Delores Kersey Lcswa NPPES

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

MARY-JACQUELINE DELORES KERSEY LCSWA (NPI 1174020333) is an individual addiction (substance use disorder) provider in Gastonia, North Carolina, licensed in North Carolina (25600-A) and active in the NPI registry since April 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174020333
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY-JACQUELINE DELORES KERSEYCredential: LCSWA
Location Address549 COX RDGastonia, NC 28054-0628
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 332-9001
Sole ProprietorYes
Enumeration DateApril 12, 2018
Last NPPES UpdateDecember 11, 20205 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1174020333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 25600-A
549 COX RD, Gastonia, NC 28054
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1350 Holly Hill Ln Ste BBurlington, NC 27215-5691 · Phone (919) 307-8165
Location 2110 W Walker AveAsheboro, NC 27203 · Phone (336) 633-7000

Other Providers at the Same Location NPPES 20

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

MARGARET REVELS LPN
Licensed Practical Nurse
549 COX RD
GASTONIA, NC 28054
Gaston County (707) 865-1558
GENESISHOUSE, INC.
Case Management
549 COX RD, SUITE A
GASTONIA, NC 28054
Gaston County (704) 852-3778
DEANNA PEARSON LPN
Licensed Practical Nurse
549 COX RD
GASTONIA, NC 28054
Gaston County (704) 865-1558
TONYA COSTNER
Counselor (Addiction (Substance Use Disorder))
549 COX RD
GASTONIA, NC 28054
Gaston County (704) 332-9001
ROSE WATKINS LPN
Licensed Practical Nurse
549 COX RD
GASTONIA, NC 28054
Gaston County (704) 865-1558
DR. LYSSA MARIE ISRAEL PH.D.
Psychologist (Clinical)
549 COX RD
GASTONIA, NC 28054
Gaston County (704) 852-3778
MS. LASHAWN COOLEY LCSWA
Social Worker (Clinical)
549 COX RD
GASTONIA, NC 28054
Gaston County (704) 865-1558
SEAN GRANT WINTER LPN
Licensed Practical Nurse
549 COX RD
GASTONIA, NC 28054
Gaston County (704) 865-1558

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 Mary-jacqueline Kersey's NPI number?

The NPI number for Mary-jacqueline Kersey is 1174020333. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Mary-jacqueline Kersey located?

Mary-jacqueline Kersey practices at 549 Cox Rd, Gastonia, NC 28054. The listed phone number is (704) 332-9001.

What is Mary-jacqueline Kersey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary-jacqueline Kersey was last updated on December 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.