Jazmin Stephanie Gonzalez, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Snow Hill, North Carolina. Her current practice location is
1106 Kingold Blvd, Snow Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 747-2921.
Jazmin Stephanie Gonzalez is licensed to practice in North Carolina (license number C013337) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689165193.
Healthcare Provider's Profile
Full Name | Jazmin Stephanie Gonzalez |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1106 Kingold Blvd, Snow Hill, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689165193
- Provider Enumeration Date: 05/21/2018
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375910730
- Enrollment ID: I20230113000608
Medical Identifiers
Medical identifiers for Jazmin Stephanie Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689165193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 24538 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P012396 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C013337 (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. Jazmin Stephanie Gonzalez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jazmin Stephanie Gonzalez, LCSW, LCAS 283 Falls Dr, Clayton, NC 27527-5533 Ph: (919) 809-3286 | Jazmin Stephanie Gonzalez, LCSW, LCAS 1106 Kingold Blvd, Snow Hill, NC 28580-1619 Ph: (252) 747-2921 |
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