MALORI ANN WHITE-JEFFERSON
NPI 1225775711
Social Worker - Clinical in Elizabeth City, NC

Q: What is Malori White-jefferson's NPI number?

The NPI number for Malori White-jefferson is 1225775711. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Malori White-jefferson's specialty?

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

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment

711 ROANOKE AVE, ELIZABETH CITY, NC 27909(252) 338-4370 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2026, May 17, 2022 (2 updates tracked since 2022).

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About Malori Ann White-jefferson NPPES

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

MALORI ANN WHITE-JEFFERSON (NPI 1225775711) is an individual clinical provider in Elizabeth City, North Carolina, licensed in North Carolina (C019918) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1225775711

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMALORI ANN WHITE-JEFFERSON

Location Address711 ROANOKE AVEElizabeth City, NC 27909-5643

Mailing Address3609 Union StElizabeth City, NC 27909-7057 · (195) 197-2549

Phone(252) 338-4370

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 16, 2022

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1225775711 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 · C019918

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.

711 ROANOKE AVE, Elizabeth City, NC 27909

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Malori Ann White-jefferson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587123583

PECOS Enrollment IDI20260831000239

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Malori White-jefferson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightside Medical Of New Jersey, P.C.

2,531 mi

Psychiatry

5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Brightside Medical Of New Jersey PC
112 clinicians in this Medicare group

NPI 1811524754 (415) 360-3348

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EMILY NICOLE BREWER LCMHCA

Counselor (Mental Health)