JARRELL STEPHEN MCQUEEN MSW, LCAS-A
NPI 1457027484
Counselor - Addiction (Substance Use Disorder) in Wilmington, NC

Q: What is Jarrell Mcqueen's NPI number?

The NPI number for Jarrell Mcqueen is 1457027484. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Q: What is Jarrell Mcqueen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jarrell Mcqueen was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2021PECOS EnrolledAccepts Medicare Assignment

917 N 4TH ST, WILMINGTON, NC 28401(910) 202-8656(910) 202-8680 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2025, Aug 19, 2021 (2 updates tracked since 2021).

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About Jarrell Stephen Mcqueen Msw, Lcas-a NPPES

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

JARRELL STEPHEN MCQUEEN MSW, LCAS-A (NPI 1457027484) is an individual addiction (substance use disorder) provider in Wilmington, North Carolina, licensed in North Carolina (LCAS-27427) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457027484

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameJARRELL STEPHEN MCQUEENCredential: MSW, LCAS-A

Location Address917 N 4TH STWilmington, NC 28401-3450

Mailing Address925 N 4th StWilmington, NC 28401-3450 · (910) 202-8655 · Fax (910) 251-1540

Phone(910) 202-8656

Fax(910) 202-8680

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 19, 2021

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1457027484 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 · LCAS-27427

917 N 4TH ST, Wilmington, NC 28401

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Secondary Practice Location 1

Location 1925 N 4th StWilmington, NC 28401-3450 · Phone (910) 343-0270 · Fax (910) 251-1540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jarrell Stephen Mcqueen Msw, Lcas-a 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 ID840738563

PECOS Enrollment IDI20240813002381

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.

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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.

LAURA PICA AKERLEY MSW, LCSW

Social Worker (Clinical)