Keri Jansen
Social Worker, Clinical in Charlotte, NC. Individual provider (NPI-1).
NPI number1154810554
StatusActive
Last updated in NPPESMay 2, 2018
Details
- NPI
- 1154810554
- Entity type
- Individual (NPI-1)
- Name
- Keri Jansen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 2, 2018
- Last updated
- May 2, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C010573 | NC | Yes |
Practice location
4415 Monroe RdCharlotte, NC 28205-7754
Phone 704-332-3634
Mailing address
18541 Boulder Rock LoopDavidson, NC 28036-8915
Phone 508-221-0509
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