Provider Demographics
NPI:1568804383
Name:SESSOMS, JASHELLA R (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:JASHELLA
Middle Name:R
Last Name:SESSOMS
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1159 HUFFMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8862
Mailing Address - Country:US
Mailing Address - Phone:336-538-6990
Mailing Address - Fax:336-538-6991
Practice Address - Street 1:1159 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8862
Practice Address - Country:US
Practice Address - Phone:336-538-6990
Practice Address - Fax:336-538-6991
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0088411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical