Healthcare Provider Details

I. General information

NPI: 1235046871
Provider Name (Legal Business Name): JENNIFER BRYANN HELD LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 PHYSICIANS DR
WILMINGTON NC
28401-7335
US

IV. Provider business mailing address

432 EDGEWATER WAY
SURF CITY NC
28445-1603
US

V. Phone/Fax

Practice location:
  • Phone: 910-796-7900
  • Fax:
Mailing address:
  • Phone: 208-518-7881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC020427
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: