Kevin Joseph Pelkowski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C019403 Issued in NC

Practice address

2131 S 17TH St
Wilmington, NC 28401-7407

Phone

(910) 667-3000

Fax

(910) 667-9758

NPI assigned

Aug 3, 2018

Last updated

Sep 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Hanover Community Health Center IncorporatedGroup PAC ID 1153220215, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• New Hanover Community Health Center Incorporated

  dba MedNorth Health Center

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
  • NPI 1912954090
  Medicare reassignment Care Compare group NPD (past)
• New Hanover Community Health Center Incorporated

  dba MedNorth Health Center at Calhoun Drive

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
  • NPI 1457512691
  NPD

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1376021014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N 4TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013450",
            "telephone_number": "910-343-0270",
            "fax_number": "910-251-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407",
            "telephone_number": "910-667-3000",
            "fax_number": "910-667-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284013450",
            "country_code": "US",
            "telephone_number": "910-202-8656",
            "fax_number": "910-202-8680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284013450",
            "country_code": "US",
            "telephone_number": "910-343-0270",
            "fax_number": "910-251-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELKOWSKI",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376021014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pelican Family Medicine at Monkey Junction
• Pelican Family Medicine Downtown
• Pelican Family Medicine, P.a. (Pelican Family Medicine at Physicians Drive)
• Pelican Family Medicine, P.a.
• Amanda Lee Pelkey
• Benjamin Hunter Pellegrin, FNP
• Rita Pellicciari, FNP
• Crystal Koren Pellom, LPC-A
• Maya Yakovlevna Peltsverger, MD
• Pelvic Prescription LLC

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, 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 Sep 9, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.