Chaquella Daughtry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C008974 Issued in NC

Practice address

120 Health Center Dr
Ahoskie, NC 27910-8161

Phone

(757) 653-8680

NPI assigned

Jan 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC, DC3 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 3

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Roanoke Chowan Community Health Center IncGroup PAC ID 7214983386, shared by 5 NPIs, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Roanoke Chowan Community Health Center Inc

  dba Colerain Primary Care

  • Federally Qualified Health Center (FQHC)
  • Colerain, NC
  • NPI 1790851004
  Medicare reassignment NPD
• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  DC, VA

  Medicare reassignment NPD
• Roanoke Chowan Community Health Center Inc

  dba Woodland Primary Care

  • Federally Qualified Health Center (FQHC)
  • Woodland, NC
  • NPI 1023675113
  NPD
• Roanoke Chowan Community Health Center Inc

  dba Ahoskie Comprehensive Care

  • Federally Qualified Health Center (FQHC)
  • Ahoskie, NC
  • NPI 1407881691
  NPD

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

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1902567928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HEALTH CENTER DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108161",
            "telephone_number": "757-653-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTH CENTER DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108161",
            "telephone_number": "757-653-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHTRY",
        "first_name": "CHAQUELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chastity Conner, PHARM.D
• Jordan Alexandra Conner, FNP-BC
• Frances Lynn Cooke, CNM
• Robert Glenn Cooke III, MD
• Copeland Drug Company Inc (Copeland Drug Company)
• Deandria Nicole Davis, FNP-C
• Ky'Asia Lajae Davis, LCSWA
• Deeply Rooted Home Care Incorporated
• Deeply Rooted Inc
• Della Reid Deloatch, AAS,CCJP,CSAS

• Clinical Social Worker in Ahoskie, NC
• Providers in Ahoskie, 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 Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.