Individual provider Active NPI

Devon Chubb Pelto, LCSWA, LCASA

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1700772522
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P022168 Issued in NC
Practice address
1800 W Lakewood Ave
Durham, NC 27707-1133
Phone
(919) 335-3447
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 P022168 NC Primary

Addresses

Primary practice location

1800 W Lakewood Ave
Durham, NC 27707-1133

Mailing address

2514 Shenandoah Ave
Durham, NC 27704-4260
Phone (919) 302-1168

Other names 1

  • Devon Elayne Chubb Former name

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
P022168NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clever Craft Therapy PLLC CurrentSince Nov 7, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1700772522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 SHENANDOAH AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044260",
            "telephone_number": "919-302-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W LAKEWOOD AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277071133",
            "telephone_number": "919-335-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTO",
        "first_name": "DEVON",
        "middle_name": "CHUBB",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P022168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "CHUBB",
            "middle_name": "ELAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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, 2025; 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.