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JESSICA MOSES MSW, MDIV, LCSWA
NPI 1407393911
Social Worker - Clinical in Winston Salem, NC

Active since January 22, 2017
1647 NE ASHLEY SCHOOL CIR, WINSTON SALEM, NC 27105(336) 703-4205 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 29, 2019, Mar 4, 2019, Sep 4, 2018 and 1 more (4 updates tracked since 2017).

About Jessica Moses Msw, Mdiv, Lcswa NPPES

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

JESSICA MOSES MSW, MDIV, LCSWA (NPI 1407393911) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C012072) and active in the NPI registry since January 2017. She maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1407393911
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA MOSESCredential: MSW, MDIV, LCSWA
Location Address1647 NE ASHLEY SCHOOL CIRWinston Salem, NC 27105-5444
Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1904 · Fax (704) 874-0707
Phone(336) 703-4205
Sole ProprietorNo
Enumeration DateJanuary 22, 2017
Last NPPES UpdateOctober 29, 20194 updates tracked since enumeration
✔ NPI 1407393911 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 · C012072
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.
1647 NE ASHLEY SCHOOL CIR, Winston Salem, NC 27105
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Secondary Practice Location 1

Location 1609 Shipyard Blvd Ste 102Wilmington, NC 28412 · Phone (910) 343-0145

Other Providers at the Same Location NPPES 4

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

BRITTANY HENDERSON
Nurse Practitioner (Pediatrics)
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 713-7188
KENYETTA HARDY LCSW
Social Worker (Clinical)
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 703-4203
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 703-4205
HOLLIE MARIE GOMEZ LCSW
Social Worker (Clinical)
1647 NE ASHLEY SCHOOL CIR
WINSTON SALEM, NC 27105
Forsyth County (336) 703-4205

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 Jessica Moses's NPI number?

The NPI number for Jessica Moses is 1407393911. It was assigned to this individual provider in the NPPES registry on January 22, 2017.

Where is Jessica Moses located?

Jessica Moses practices at 1647 NE Ashley School Cir, Winston Salem, NC 27105. The listed phone number is (336) 703-4205.

What is Jessica Moses's specialty?

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

When was this NPI record last updated?

The NPPES record for Jessica Moses was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.