Angela Nicole Bembry-Elliott, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C020507 Issued in NC

Practice address

1023 US Highway 17 S
Elizabeth City, NC 27909-9070

Phone

(252) 339-1536

NPI assigned

Mar 2, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1477200293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279061408",
            "telephone_number": "252-339-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 US HIGHWAY 17 S",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099070",
            "telephone_number": "252-339-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMBRY-ELLIOTT",
        "first_name": "ANGELA",
        "middle_name": "NICOLE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C020507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nelliott@upliftnc.org",
            "affiliation": "N",
            "endpointDescription": "Secure Business Email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communications",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1023 US Highway 17 S",
            "city": "Elizabeth City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279099070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lorelle Layden Baum, DENTAL ASSISTANT
• Shannon Baylor-Henderson
• Terry H Beamon, CRNA
• Behavioral Empowerment Services, Inc.
• Maya Bell, PHARMD
• John Joseph Beneck, PA-C
• Stacey Ann Beneck, PA-C
• Benjamin House Inc
• Benjamin House, Inc.
• Benjamin House, Inc.

• Clinical Social Worker in Elizabeth City, NC
• Providers in Elizabeth City, 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 11, 2026; 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.