Healthcare Provider Details

I. General information

NPI: 1215841184
Provider Name (Legal Business Name): JENNIFER PAGE MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 DUBLIN SQUARE RD STE A
ASHEBORO NC
27203-8601
US

IV. Provider business mailing address

138 DUBLIN SQUARE RD STE A
ASHEBORO NC
27203-8601
US

V. Phone/Fax

Practice location:
  • Phone: 336-860-3262
  • Fax: 336-521-7989
Mailing address:
  • Phone: 336-860-3262
  • Fax: 336-521-7989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024652
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: