MRS. JESSEYETTA LAVETTA STATON (NPI# 1811539786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811539786 |
| Entity Type | Individual |
| Full Name | MRS. JESSEYETTA LAVETTA STATON |
| Other Name | JESSEYETTA LAVETTA CRAWFORD |
| Credential | LCSWA |
| Practice Address |
2015 Ayrsley Town Blvd Ste 202 Charlotte NC 28273-4068 |
| Mailing Address |
7110 Lowen Rd Charlotte NC 28269-0194 |
| Practice Telephone | 8885479905 |
| Mailing Telephone | 7046154183 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P014185 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2015 AYRSLEY TOWN BLVD STE 202 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28273-4068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962712653 | Intensive Mental Care Inc | Social Worker | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2010-10-14 |
| 1205462918 | Trueu Counseling and Education | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2020-03-14 |
| 1760018402 | A Place for Peace, Pllc | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2020-03-13 |
| 1295378883 | Ijeoma Enweana | Registered Nurse | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-10-25 |
| 1831732635 | Broadlight Health LLC | Home Health | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-10-24 |
| 1417416835 | Top Notch Nurse Staffing & Home Health LLC. | Respite Care | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-03-15 |
| 1205301629 | Anew Health Solutions | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2018-10-12 |
| 1760957153 | The Reese Collective, LLC | Social Worker | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2018-10-11 |
| 1356604235 | Southside Counseling Center, LLC | Community/Behavioral Health | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2012-06-17 |
| 1427333517 | Courtney Morrison Ycaza | Counselor | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273 | 2011-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1295387637 | Excel Eyecare Od Pa | Optometrist | 14154 Steele Creek Rd, Ste 200, Charlotte, NC 28273 | 2019-07-16 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| 1487111977 | Shanise Danielle Lewis | Respite Care | Top Notch Nurse Staffing & Home Health LLC., 2015 Ayrsley Town Blvd. Suite 202, Charlotte, NC 28273 | 2019-02-21 |
| 1700361953 | Timothy John Hartman | Chiropractor | 2550 West Arrowood Road Suite 104, Charlotte, NC 28273 | 2018-10-03 |
| 1144703141 | Shaquanda King | Behavior Technician | 15528 Baltinglass Ct., Charlotte, NC 28273 | 2018-09-14 |
| 1184106502 | Janelle Gillis | Behavioral Analyst | 13354 Calloway Glen Dr, Charlotte, NC 28273 | 2018-09-01 |
| 1730688680 | Style By Shandy Inc | Specialist | 2106 Arysley Town Blvd, A, Charlotte, NC 28273 | 2018-02-06 |
| 1063945582 | Bpolloni Consulting | Clinical Medical Laboratory | 11709 Fruehauf Drive, Suite 105 & 106, Charlotte, NC 28273 | 2017-04-11 |
| 1770038325 | Kerry Barbera | Dietitian, Registered | 12421 Belmont Mansion Dr, Charlotte, NC 28273 | 2016-08-23 |
| Find all providers in zip 28273 | ||||
| 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 |
|---|---|---|---|---|
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1710586698 | Queen City Psychotherapy Pllc | Social Worker | 100 Matador Ln Apt 403, Charlotte, NC 28209-3364 | 2020-10-21 |
| 1609474915 | Karen Doris Myers | Social Worker | 2503 Roswell Ave Unit 301, Charlotte, NC 28209-1683 | 2020-10-09 |
| 1750997540 | Patricia Mckinney | Social Worker | 4922 Albemarle Rd Ste 3a, Charlotte, NC 28205-6618 | 2020-09-17 |
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1700499753 | Kelsey Dawn Miller | Social Worker | 3635 Manor House Dr, Charlotte, NC 28270-2291 | 2020-08-28 |
| 1104437847 | Delilah Mcdonald | Social Worker | 9812 Aviary Hill Way, Charlotte, NC 28214-7138 | 2020-08-15 |
| 1972114148 | Camari Claiborne-scott | Social Worker | 14026 Dingess Rd, Charlotte, NC 28273-3285 | 2020-08-12 |
| 1366050239 | Jacquelyne Aida Tingey | Social Worker | 5950 Fairview Rd Ste 660, Charlotte, NC 28210-3113 | 2020-07-16 |
| Find all providers in CHARLOTTE | ||||
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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.