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

Jasmine Latrice Johnson

Individual provider Clinical Social Worker · NPI 1619543733

Jasmine Latrice Johnson is a Clinical Social Worker in Kernersville, North Carolina. Qualified in 2021, 5 years ago. Practices with Brightside Medical of New Jersey PC, a 61-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

1695 Kernersville Medical Pkwy
Kernersville, NC 27284-7159
Phone: (336) 515-5000
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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 C016728 (NC)

Record details

NPI number1619543733
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2021
Last updated in NPPESDecember 26, 2025
Certification dateDecember 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brightside Medical Of New Jersey Pc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kernersville