Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeannine Bodner, LCSW, PLLC

Organization Clinical Social Worker · NPI 1255792156

Jeannine Bodner, LCSW, PLLC is a Clinical Social Worker in Davidson, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120-D S Village Ln
Davidson, NC 28036-8877
Phone: (704) 995-7686
Fax: (704) 659-4010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C009794 (NC)

Record details

NPI number1255792156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeannine Bodner — Owner · (704) 995-7686
NPI enumeratedMarch 19, 2016
Last updated in NPPESOctober 3, 2018
Mailing address120-D South Village Lane, Davidson, NC 28036-8877

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