Active NPI
Djelika G Siby
- Social Worker
- Concord, NC
National Provider Identifier
1457037251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P019138
- Practice address
- 45 Optical CT. NW
Concord, NC 28025 - Phone
- (980) 270-5500
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P019138 | NC | Primary |
Addresses
Primary practice location
45 Optical CT. NW
Concord, NC 28025
Mailing address
2315 Keaton Ave. Apt a
Charlotte, NC 28269
Phone (267) 259-9464
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
| License | State | Type | Specialty |
|---|---|---|---|
| P019138 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1457037251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 KEATON AVE. APT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28269",
"telephone_number": "267-259-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 OPTICAL CT. NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "28025",
"telephone_number": "980-270-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBY",
"first_name": "DJELIKA",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P019138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.