MEDICARE: JASHELLA SESSOMS LCSW, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1336942002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JASHELLA SESSOMS LCSW, PLLC

Provider Business Mailing Address
First Line	:	1804 NEW BEDFORD DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-1937
Country	:	US
Telephone Number	:	336-709-5013
Fax Number	:

Provider Business Practice Location Address
First Line	:	1804 NEW BEDFORD DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27410-1937
Country	:	US
Telephone Number	:	336-709-5013
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASHELLA RENEA SESSOMS
Credential	:	LCSW
Telephone Number	:	336-709-5013

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	03/28/2025

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