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

Mr. Jerome L Ellis

Individual provider Clinical Social Worker · NPI 1023008638

Mr. Jerome L Ellis is a Clinical Social Worker in Goldsboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005

Practice location Address checks out

2803 Medical Campus Dr Seymour Johnson Afb
Goldsboro, NC 27531-2310
Phone: (919) 722-0969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C004119 (NC)

Record details

NPI number1023008638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

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