Jessica Lynn Cedeno, LCSW, MSW
Social Worker, Clinical in Fayetteville, NC. Individual provider (NPI-1).
NPI number1669934618
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1669934618
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lynn Cedeno
- Credential
- LCSW, MSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2019
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
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 | C014557 | NC | Yes |
| 1041C0700X | Social Worker, Clinical | 0904015083 | VA |
Practice location
2931 Breezewood Ave Ste 203Fayetteville, NC 28303-5281
Phone 910-491-6011
Mailing address
2931 Breezewood Ave Ste 203Fayetteville, NC 28303-5281
Phone 910-491-6011
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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