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MR. JESSIE RAY STATON LCAS, LCSW
NPI 1487956397
Social Worker - Clinical in Ahoskie, NC

Active since November 29, 2010
144 COMMUNITY COLLEGE RD, SUITE B, AHOSKIE, NC 27910(252) 209-8932(252) 332-2483 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jessie Ray Staton Lcas, Lcsw NPPES

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

MR. JESSIE RAY STATON LCAS, LCSW (NPI 1487956397) is an individual clinical provider in Ahoskie, North Carolina, licensed in North Carolina (C007929) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1487956397
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JESSIE RAY STATONCredential: LCAS, LCSW
Location Address144 COMMUNITY COLLEGE RD, SUITE BAhoskie, NC 27910-8047
Mailing Address4300-110 Sapphire Ct, Port Human ServicesGreenville, NC 27834 · (252) 830-7540 · Fax (252) 752-0074
Phone(252) 209-8932
Fax(252) 332-2483
Sole ProprietorNo
Enumeration DateNovember 29, 2010
Last NPPES UpdateSeptember 29, 2016
✔ NPI 1487956397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C007929
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1727 (NC)
144 COMMUNITY COLLEGE RD, Ahoskie, NC 27910
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Other Identifiers 1

Medicaid6112245NC

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.

DR. PATRICIA WRIGHT WESSON M.D.
Psychiatry & Neurology (Psychiatry)
144 COMMUNITY COLLEGE RD, B
AHOSKIE, NC 27910
Hertford County (252) 209-8932
CHELSEY LYNN RIVERA LCSW
Social Worker (Clinical)
144 COMMUNITY COLLEGE RD
AHOSKIE, NC 27910
Hertford County (866) 998-2597
ROANOKE-CHOWAN HUMAN SERVICES CENTER
Community/Behavioral Health
144 COMMUNITY COLLEGE RD
AHOSKIE, NC 27910
Hertford County (252) 332-4137
TRILLIUM HEALTH RESOURCES
Community/Behavioral Health
144 COMMUNITY COLLEGE RD
AHOSKIE, NC 27910
Hertford County (252) 332-4137

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 Jessie Staton's NPI number?

The NPI number for Jessie Staton is 1487956397. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Jessie Staton located?

Jessie Staton practices at 144 Community College Rd Suite B, Ahoskie, NC 27910. The listed phone number is (252) 209-8932.

What is Jessie Staton'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 Jessie Staton was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.