Individual provider Active NPI

Whitney Celeste Kelbaugh, LCSWA

  • Clinical Social Worker
  • Nags Head, NC
National Provider Identifier
1245967363
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P0175057 Issued in NC
Practice address
110 W Wood Hill Dr
Nags Head, NC 27959-9394
Phone
(252) 648-6363
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P0175057 NC Primary

Addresses

Primary practice location

110 W Wood Hill Dr
Nags Head, NC 27959-9394

Mailing address

400 N Main St
Four Oaks, NC 27524-7244
Phone (919) 464-5884

Other practice location 1

206 High House Rd Ste 108
Cary, NC 27513-8496
Phone (919) 243-1505

Other practice location 2

34 Oleander Dr Ste 104
Clayton, NC 27527-4599
Phone (919) 243-1505

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL animalassistedtherapyofthetriangle.com Health Information Exchange (HIE) Animal Assisted Therapy of the Triangle
CONNECT URL animalassistedtherapyofthetriangle.com Health Information Exchange (HIE) Animal Assisted Therapy of the Triangle

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P0175057NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Animal Assisted Therapy of the Triangle Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1245967363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275247244",
            "telephone_number": "919-464-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WOOD HILL DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599394",
            "telephone_number": "252-648-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 High House Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138496",
            "country_code": "US",
            "telephone_number": "919-243-1505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Oleander Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275274599",
            "country_code": "US",
            "telephone_number": "919-243-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELBAUGH",
        "first_name": "WHITNEY",
        "middle_name": "CELESTE",
        "name_prefix": "Mrs.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P0175057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "animalassistedtherapyofthetriangle.com",
            "affiliation": "Y",
            "affiliationName": "Animal Assisted Therapy of the Triangle",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1443 Branch Chapel Church Rd",
            "city": "Selma",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275768288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "animalassistedtherapyofthetriangle.com",
            "affiliation": "Y",
            "affiliationName": "Animal Assisted Therapy of the Triangle",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1443 Branch Chapel Church Rd",
            "city": "Selma",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275768288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.