Mr Jessica Penson-heyder, LCSW is a
Social Worker - Clinical based in Jarvisburg, North Carolina. Mr Jessica Penson-heyder is licensed to practice in North Carolina (license number C000002) and her current practice location is
206 Newbern Road, Jarvisburg, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 491-8128.
NPI number for Mr Jessica Penson-heyder is 1952303612 and her current mailing address is Po Box 347, Powells Point, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952303612.
Healthcare Provider's Profile
Full Name | Mr Jessica Penson-heyder |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 206 Newbern Road, Jarvisburg, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952303612
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 12/16/2013
Medical Identifiers
Medical identifiers for Mr Jessica Penson-heyder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952303612 | NPI | - | NPPES |
66782 | Other | NY | BC/BS |
6002015 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C000002 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jessica Penson-heyder is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jessica Penson-heyder, LCSW Po Box 347, Powells Point, NC 27966-0347 Ph: (252) 491-8128 | Mr Jessica Penson-heyder, LCSW 206 Newbern Road, Jarvisburg, NC 27947 Ph: (252) 491-8128 |
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