Individual
JESSICA N FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1657 TUNNEL ST, WENDELL, NC 27591-6893
(919) 374-0855
Mailing address
1657 TUNNEL ST, WENDELL, NC 27591-6893
(410) 490-0554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C012898
NC
104100000X
Social Worker
20248
MD
1041C0700X
Clinical Social Worker
20248
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
TRICARE/MHN
MD
05
—
609500300
—
MD
05
—
609550002
—
MD
01
—
742L
MEDICARE PART B
MD
01
—
7840093
AETNA
MD
01
—
R968
CAREFIRST OF MARYLAND
MD
Enumeration date
04/02/2012
Last updated
01/21/2026
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