Kelley Leigh Whitesell, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P013548 Issued in NC

Practice address

3710 John Platt Dr Ste a
Morehead City, NC 28557-4372

Phone

(252) 648-7850

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

No

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 NC

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Integrated Family Services PLLC

  • Community/Behavioral Health Agency
  • Ahoskie, NC
  • NPI 1942289244

  Clinical

  Medicare reassignment NPD
• Integrated Family Services PLLC

  • Clinical Social Worker
  • Elizabeth City, NC
  • NPI 1629205208
  NPD
• Integrated Family Services, PLLC

  • Community/Behavioral Health Agency
  • Morehead City, NC
  • NPI 1649723966
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1992358642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 COUNTRY CLUB RD UNIT F203",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285576289",
            "telephone_number": "336-327-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 JOHN PLATT DR STE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574372",
            "telephone_number": "252-648-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESELL",
        "first_name": "KELLEY",
        "middle_name": "LEIGH",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Leigh Westbrook, DDS
• Kenneth Leigh Westbrook, DDS
• Rebecca Goodman Weston, MD
• John Jennings Wheary, PA-C
• Katie L White, NP
• Zachary Ross Whitley, RBT
• Kristen Alexandria Widmayer, DPT
• Harleigh Wiggins
• Wildwood Fire and Rescue Inc.
• Lauren Marie Willey, PA-C

• Clinical Social Worker in Morehead City, NC
• Providers in Morehead City, 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 Jul 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.