Individual provider Active NPI

Deshala Chanchez Hunt, B.S., MSW, LCSW

  • Clinical Social Worker
  • Morrisville, NC
National Provider Identifier
1518632843
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C016099 Issued in NC
Practice address
1208 Oakcrest Green CT
Morrisville, NC 27560-6924
Phone
(251) 387-8510
Fax
(919) 650-1259
NPI assigned
Aug 10, 2021
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C016099 NC Primary

Addresses

Primary practice location

1208 Oakcrest Green CT
Morrisville, NC 27560-6924

Mailing address

1208 Oakcrest Green CT
Morrisville, NC 27560-6924
Phone (251) 387-8510

Other names 1

  • Deshala Chanchez Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250317002382 DC Practitioner - Clinical Social Worker 9931621281 Reassigns benefits to 1 organization
I20250411003267 NC Practitioner - Clinical Social Worker 9931621281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
C016099NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Kairos Experience, PLLC Clinical CurrentSince Apr 14, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 14, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1518632843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 OAKCREST GREEN CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606924",
            "telephone_number": "251-387-8510",
            "fax_number": "919-650-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 OAKCREST GREEN CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606924",
            "telephone_number": "251-387-8510",
            "fax_number": "919-650-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "DESHALA",
        "middle_name": "CHANCHEZ",
        "name_prefix": "Ms.",
        "credential": "B.S., MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESHALA",
            "last_name": "JACKSON",
            "middle_name": "CHANCHEZ",
            "credential": "B.S., MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.