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JEANNINE BODNER, LCSW, PLLC
NPI 1255792156
Social Worker - Clinical in Davidson, NC

Active since March 19, 2016
120-D SOUTH VILLAGE LANE, DAVIDSON, NC 28036(704) 995-7686(704) 659-4010 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 3, 2018, Mar 19, 2016 (2 updates tracked since 2016).

About Jeannine Bodner, Lcsw, Pllc NPPES

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

JEANNINE BODNER, LCSW, PLLC (NPI 1255792156) is a healthcare organization registered as a clinical in Davidson, North Carolina and active in the NPI registry since March 2016. The organization lists Jeannine Bodner, Owner, as its authorized official.

NPPES Registry Identity

NPI1255792156
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameJEANNINE BODNER, LCSW, PLLC
Location Address120-D SOUTH VILLAGE LANEDavidson, NC 28036-8877
Mailing Address120-d South Village LaneDavidson, NC 28036-8877 · (704) 995-7686 · Fax (704) 659-4010
Phone(704) 995-7686
Fax(704) 659-4010
Organization SubpartNo
Authorized OfficialJeannine BodnerOwner · (704) 995-7686
Enumeration DateMarch 19, 2016
Last NPPES UpdateOctober 3, 20182 updates tracked since enumeration
✔ NPI 1255792156 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 · C009794
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.
120-D SOUTH VILLAGE LANE, Davidson, NC 28036
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeannine Bodner, Lcsw, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeannine Bodner, Lcsw, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jeannine Bodner, LCSW
Clinical Social Worker
NPI 1932443181
120D S VILLAGE LN
Davidson, NC 28036
(704) 995-7686
✔ PECOS✔ Accepts MedicareSame address
Kaylee Bodner, LCSW-A, LCAS-A
Clinical Social Worker
NPI 1699490938
120 S VILLAGE LN STE D
Davidson, NC 28036
(704) 255-5155
✔ PECOS✔ Accepts Medicare0.9 mi

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

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 Jeannine Bodner, Lcsw, PLLC's NPI number?

The NPI number for Jeannine Bodner, Lcsw, PLLC is 1255792156. It was assigned to this organization in the NPPES registry on March 19, 2016.

Where is Jeannine Bodner, Lcsw, PLLC located?

Jeannine Bodner, Lcsw, PLLC is located at 120-D South Village Lane, Davidson, NC 28036. The listed phone number is (704) 995-7686.

What is Jeannine Bodner, Lcsw, PLLC's specialty?

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

Is Jeannine Bodner, Lcsw, PLLC enrolled in Medicare?

Yes. Jeannine Bodner, Lcsw, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeannine Bodner, Lcsw, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Jeannine Bodner, Lcsw, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jeannine Bodner, Lcsw, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Jeannine Bodner, Lcsw, PLLC 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 Jeannine Bodner, Lcsw, PLLC was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.