JEFFREY ALLEN JAWORSKI LCAS LPC NPI 1700934262

NPI Information

NPI: 1700934262
Provider Name: JEFFREY ALLEN JAWORSKI, LCAS, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
110 W WOOD HILL DR
NAGS HEAD, NC
ZIP 27959
Phone: (252) 441-1802
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Jeffrey Allen Jaworski, LCAS, LPC is a mental health counselor in Nags Head, NC. Jeffrey Allen Jaworski, LCAS, LPC NPI is 1700934262. 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:

110 W WOOD HILL DR
NAGS HEAD, NC
ZIP 27959-394
Phone: (252) 441-1802
Fax: (252) 441-1802

The enumeration date for this NPI number is 1/8/2007 and was last updated on 10/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1059	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	5512	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6103427	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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