Active NPI
Kelli Matsievskiy, BS
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1962022855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829 - Phone
- (919) 251-9001
- NPI assigned
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Mailing address
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6112 Saint Giles St
Raleigh, NC 27612-7043
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advaita Integrated Medicine PLLC | Current | Accepting new patients | |
| Veritas Collaborative, LLC | Past | Accepting new patients |
Locations
6112 Saint Giles St
Raleigh, NC 27612
Phone (919) 782-3870
6124 Saint Giles St
Raleigh, NC 27612
Phone (919) 893-4465
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1437727088
-
- Psychiatric Hospital
- Durham, NC
- NPI 1376817593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1962022855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072829",
"telephone_number": "919-251-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072829",
"telephone_number": "919-251-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSIEVSKIY",
"first_name": "KELLI",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"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 10, 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.