Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Lee Guevara, LCSW-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821615980

Jennifer Lee Guevara, LCSW-A is a Clinical Social Worker in Jacksonville, North Carolina. Qualified in 2020, 6 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

215B Memorial Dr
Jacksonville, NC 28546-6333
Phone: (252) 747-7824
Fax: (910) 577-0383
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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 P014755 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-26769 (NC)

Record details

NPI number1821615980
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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