AUDREY ROSE JAENICKE LCSWA
NPI 1972251544
Social Worker - Clinical in Wilmington, NC

Active since March 14, 2022
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 202-3155 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audrey Rose Jaenicke Lcswa NPPES

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

AUDREY ROSE JAENICKE LCSWA (NPI 1972251544) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (P107269) and active in the NPI registry since March 2022. She maintains a secondary practice location in Burgaw.

NPPES Registry Identity

NPI1972251544
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUDREY ROSE JAENICKECredential: LCSWA
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431
Sole ProprietorNo
Enumeration DateMarch 14, 2022
Last NPPES UpdateApril 25, 2022
NPPES CertifiedApril 25, 2022
NPI 1972251544 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 · P107269
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.
615 SHIPYARD BLVD, Wilmington, NC 28412

Secondary Practice Location 1

Location 1309 Progress DrBurgaw, NC 28425-3280 · Phone (910) 259-0668 · Fax (910) 202-9966

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.

Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412

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 Audrey Jaenicke's NPI number?

The NPI number for Audrey Jaenicke is 1972251544. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Audrey Jaenicke located?

Audrey Jaenicke practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 202-3155.

What is Audrey Jaenicke'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 Audrey Jaenicke was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.