Jenkins, Shereta

Jenkins, Shereta is an sole proprietor health care provider with primary practice located at 213 E 3Rd St , Lumberton NC 28358-5627. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jenkins, Shereta can be contacted via phone (910) 739-5518.

Contact Information

Primary practice address
213 E 3Rd St Lumberton NC 28358-5627
Fax: (910) 739-5520
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005377 North Carolina

Profile Details

NPI number 1700944048
LBN Legal business name Jenkins, Shereta
Credentials MSW,LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Feb 25th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700944048 NPPES
North Carolina MEDICAID 6106443

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