Active NPI
Kelly Orr Belk, LCSW
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1720139439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003783
- Practice address
- 1230 SE Maynard Rd
Suite 204
Cary, NC 27511-6945 - Phone
- (919) 468-9122
- Fax
- (919) 468-9122
- NPI assigned
- Jan 16, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003783 | NC | Primary |
Addresses
Primary practice location
1230 SE Maynard Rd
Suite 204
Cary, NC 27511-6945
Mailing address
1230 SE Maynard Rd
Suite 204
Cary, NC 27511-6945
Phone (919) 468-9122
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130FW | Other | NC | STATE OF N C HEALTH PLAN |
| 200050320-003 | Other | NC | CIGNA |
| 277541000 | Other | NC | MAGELLAN |
| 200050320 | Other | NC | AETNA |
| 6002460 | Medicaid | NC | |
| A8774 | Other | NC | MEDCOST PREFERRED |
| 216708 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| 130FW | Other | NC | BLUE CROSS BLUE SHIELD |
| 200050320 | Other | NC | TRICARE |
| N334D | Other | NC | EMPIRE BCBS |
| 200050320 | Other | MHN |
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 |
|---|---|---|---|
| C003783 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avalon Counseling Center, PLLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Cary, NC
- NPI 1699809301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1720139439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 SE MAYNARD RD",
"address_2": "SUITE 204",
"city": "CARY",
"state": "NC",
"postal_code": "275116945",
"telephone_number": "919-468-9122",
"fax_number": "919-468-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 SE MAYNARD RD",
"address_2": "SUITE 204",
"city": "CARY",
"state": "NC",
"postal_code": "275116945",
"telephone_number": "919-468-9122",
"fax_number": "919-468-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELK",
"first_name": "KELLY",
"middle_name": "ORR",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF N C HEALTH PLAN",
"identifier": "130FW",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "200050320-003",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "277541000",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "200050320",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002460",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST PREFERRED",
"identifier": "A8774",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "216708",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "130FW",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "200050320",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "N334D",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "200050320",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.