| Mr Jerome L Ellis, | |
|
1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | |
| (919) 722-0928 | |
| (919) 722-1952 |
| Full Name | Mr Jerome L Ellis |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 1050 Jabarrah Ave, Goldsboro, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023008638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004119 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerome L Ellis, 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 Ph: (919) 722-0928 | Mr Jerome L Ellis, 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 Ph: (919) 722-0928 |
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 | |
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 |