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

MS. Jasmine Shavon Bethea, MSW, LCSW, LCAS

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1184984510

MS. Jasmine Shavon Bethea, MSW, LCSW, LCAS is a Clinical Social Worker in Durham, North Carolina. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and North Carolina.

Years since qualifying
5
Licensed in
IL, NC
In the registry since
2012
Specialties on file
4
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5 Onyx Ct
Durham, NC 27703-2680
Phone: (919) 408-4945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8041 Brier Creek Pkwy # 1046, Raleigh, NC 27617-7596 — (919) 408-4945

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C018890 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-28029 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149030065 (IL)

Record details

NPI number1184984510
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , LCAS
Sole proprietorYes
NPI enumeratedMay 18, 2012
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

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)
Accepts Medicare assignment Not indicated

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