MR. JAKIME LAMAR ELLISON (NPI# 1225339260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225339260 |
| Entity Type | Individual |
| Full Name | MR. JAKIME LAMAR ELLISON |
| Credential | P-LCSW |
| Practice Address |
3405 W Wendover Ave Suite A Greensboro NC 27407-2377 |
| Mailing Address |
724 Creek Ridge Rd Lot# 142 Greensboro NC 27406-4821 |
| Practice Telephone | 3362352427 |
| Mailing Telephone | 3362530547 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P006095 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3405 W WENDOVER AVE SUITE A |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627614 | Susie Ozetta Troxler | Psychologist | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2005-05-30 |
| 1285187005 | Shakera Williams | Social Worker | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2016-07-28 |
| 1114339983 | Aja Thomas | Counselor | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2014-05-28 |
| 1740617109 | Easterseals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3405 W Wendover Ave, Ste H, Greensboro, NC 27407-2377 | 2013-10-01 |
| 1881020782 | Easter Seals Ucp North Carolina & Virginia | Community Based Residential Treatment Facility, Mental Illness | 3405 W Wendover Ave, Ste C, Greensboro, NC 27407-2377 | 2013-09-24 |
| 1356691182 | Zephaniah Services Pllc | Psychologist | 3405 W Wendover Ave, Suite F, Greensboro, NC 27407-2377 | 2012-09-19 |
| 1144599879 | Healthcore Resource | Community/Behavioral Health | 3405 W Wendover Ave, Ste E., Greensboro, NC 27407-2377 | 2011-12-27 |
| 1053473991 | Easter Seals Ucp North Carolina & Virginia, Inc. | Counselor | 3405 W Wendover Ave, Suite C, Greensboro, NC 27407-2377 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877929 | Midge Spong | Social Worker | 1603 Regents Park Ln, Greensboro, NC 27455-0807 | 2020-10-08 |
| 1336755370 | Imari Jacoya Brower | Social Worker | 16 Summertree Ln Apt G, Greensboro, NC 27406-5635 | 2020-09-16 |
| 1447864947 | Kelsey Walker | Social Worker | 5 Oak Branch Dr Ste G, Greensboro, NC 27407-2157 | 2020-09-02 |
| 1225640469 | Madario Lampkins | Social Worker | 2311 W Cone Blvd Ste 223, Greensboro, NC 27408-4067 | 2020-08-19 |
| 1427669266 | Esmeralda Mendez | Social Worker | 16 Oak Branch Dr Ste A, Greensboro, NC 27407-2119 | 2020-08-14 |
| 1720605686 | Sheilagh Harrington | Social Worker | 308 Pomona Dr Ste Ab, Greensboro, NC 27407-1665 | 2020-06-26 |
| 1588289862 | Life Transitions Counseling, LLC | Social Worker | 1140 Westchester, Greensboro, GA 30642-3495 | 2020-06-11 |
| 1134758998 | Kirstin Cassell | Social Worker | 3403 Kenmore St, Greensboro, NC 27408-2907 | 2020-04-03 |
| 1609402866 | Susan Porter | Social Worker | 509 N Elam Ave Ste 3e, Greensboro, NC 27403-1129 | 2020-03-19 |
| 1851922454 | Chelsea Nicole Miller | Social Worker | 5509 W Friendly Ave Ste 104b, Greensboro, NC 27410-4211 | 2020-02-01 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.