Kelsea Warren

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012338 Issued in NC

Practice address

159 Maxwell St RM 6
Fayetteville, NC 28301-5592

Phone

(910) 758-9963

Fax

(910) 779-0068

NPI assigned

Nov 29, 2017

Last updated

Nov 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A New Leaf Therapeutic Services, PLLC

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1710391867
  NPD (past)

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1356855357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BLUE BAY LN",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283264032",
            "telephone_number": "541-580-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MAXWELL ST RM 6",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015592",
            "telephone_number": "910-758-9963",
            "fax_number": "910-779-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035300",
            "country_code": "US",
            "telephone_number": "910-493-3555",
            "fax_number": "910-493-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Warner
• Sarah Elizabeth Warner, RN
• Camay Warren
• Dana Warren
• Elizabeth M Warren, LCMHC, LCASA, NCC
• Lilli Warren
• Margaret Warren, OTR/L
• Mitchell Ray Warren
• Roger D Warren, MD
• Gabrielle Ann Warwick, RRT-NPS, CPFT

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, 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 Nov 30, 2018; 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.