| Jessica Lanette Baker, | |
|
1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | |
| (919) 734-6676 | |
| (919) 238-7919 |
| Full Name | Jessica Lanette Baker |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 1706 Wayne Memorial Dr, Goldsboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891405262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C018035 (North Carolina) | Primary |
| 1041C0700X | Social Worker - Clinical | P017856 (North Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifesource Of North Carolina | 7416132428 | 163 |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lanette Baker, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676 | Jessica Lanette Baker, 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 Ph: (919) 734-6676 |
Jasmine Detrice Ellison, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1503 Wayne Memorial Dr Ste E, Goldsboro, NC 27534 Phone: 919-587-0001 Fax: 919-587-0007 | |
Ms. Lakisha King, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Wayne Memorial Dr, Suite A & B, Goldsboro, NC 27534 Phone: 919-734-0753 | |
Mr. Jerome L Ellis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952 | |
Comatha B Johnson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 N Berkeley Blvd, Goldsboro, NC 27534 Phone: 919-751-0277 Fax: 919-751-0278 | |
Pattie Lou Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 | |
Ms. Brianna Nicole Davis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Boyette Dr, Goldsboro, NC 27534 Phone: 919-394-3801 | |
Mr. William Lowry Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119 |