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

Individual provider Clinical Social Worker · NPI 1972251544

Audrey Rose Jaenicke, LCSWA is a Clinical Social Worker in Wilmington, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
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Practice location Address checks out

615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone: (910) 202-3155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Progress Dr, Burgaw, NC 28425-3280 — (910) 259-0668

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P107269 (NC)

Record details

NPI number1972251544
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022

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