Individual provider Active NPI

Emily Pelehach, LCSW, LCASA

  • Social Worker
  • Durham, NC
National Provider Identifier
1508457755
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P014740 Issued in NC
Practice address
918 Broad St
Durham, NC 27705-4142
Phone
(919) 808-2318
NPI assigned
Jan 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P014740 NC Primary

Addresses

Primary practice location

918 Broad St
Durham, NC 27705-4142

Mailing address

918 Broad St
Durham, NC 27705-4142

Other practice location 1

547 Keisler Drive Suite 202
Cary, NC 27518
Phone (919) 893-9444

Other practice location 2

1011 Dresser Ct
Raleigh, NC 27609-7323
Phone (919) 514-3566

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
P014740NCMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1508457755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054142",
            "telephone_number": "919-808-2318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "547 Keisler Drive Suite 202",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "27518",
            "country_code": "US",
            "telephone_number": "919-893-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Dresser Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097323",
            "country_code": "US",
            "telephone_number": "919-514-3566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELEHACH",
        "first_name": "EMILY",
        "credential": "LCSW, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NC",
            "license": "P014740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.