Roxanne Banks O'Kelley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008397 Issued in NC

Practice address

2269 Stantonsburg Rd
Greenville, NC 27834-2841

Phone

(252) 439-0700

Fax

(252) 439-0900

NPI assigned

Apr 3, 2013

Last updated

Jan 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Family Services PLLC

  • Community/Behavioral Health Agency
  • Ahoskie, NC
  • NPI 1942289244

  Clinical

  Medicare reassignment NPD
• Integrated Family Services PLLC

  • Clinical Social Worker
  • Elizabeth City, NC
  • NPI 1629205208
  NPD
• Integrated Family Services PLLC

  • Clinical Social Worker
  • Greenville, NC
  • NPI 1740451921
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1245573757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342841",
            "telephone_number": "252-439-0700",
            "fax_number": "252-439-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342841",
            "telephone_number": "252-439-0700",
            "fax_number": "252-439-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KELLEY",
        "first_name": "ROXANNE",
        "middle_name": "BANKS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245573757",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle O'Donnell, M.S. XXX-SLP
• John Cornelius O'Donnell
• Samantha Davenport O'Kane
• Andrew Joseph O'Keefe, DMD
• Kraigher Allan O'Keefe, MD
• Sean O'Leary, MD
• Mary Ann O'Malley, PT
• Lana S. O'Neal, MD
• Jonathan Carl O'Quinn, DPM
• Peter John O'Rourke, MD

• Clinical Social Worker in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.