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MR. JESSIE RAY STATON LCAS LCSW NPI 1487956397


NPI Information

NPI: 1487956397
Provider Name: MR. JESSIE RAY STATON, LCAS, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
144 COMMUNITY COLLEGE RD
SUITE B
AHOSKIE, NC
ZIP 27910
Phone: (252) 209-8932
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MR. Jessie Ray Staton, LCAS, LCSW is a clinical social worker in Ahoskie, NC. The provider is 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. MR. Jessie Ray Staton, LCAS, LCSW NPI is 1487956397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

144 COMMUNITY COLLEGE RD
SUITE B
AHOSKIE, NC
ZIP 27910-047
Phone: (252) 209-8932
Fax: (252) 332-2483

The enumeration date for this NPI number is 11/29/2010 and was last updated on 9/29/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)1727NORTH CAROLINANo
21041C0700XSocial WorkerClinicalC007929NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16112245MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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