DEMELZA MARY PENGELLY


Address: 300 Veazey Rd, Butner, NC 27509
Phone: 1997647200

DEMELZA MARY PENGELLY (NPI# 1245774819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245774819
Entity Type Individual
Full Name DEMELZA MARY PENGELLY
Credential MSW, LCSW, LCAS-A
Practice Address 300 Veazey Rd
Butner
NC 27509
Mailing Address 615 Grist Mill Ln
Durham
NC 27712-9513
Practice Telephone 1997647200
Mailing Telephone 6178003701
Enumeration Date 2016-12-15
Last Update Date 2019-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 104100000X Social Worker 221410 MA Behavioral Health & Social Service Providers
N 104100000X Social Worker P011117 NC Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
C012121 NC Behavioral Health & Social Service Providers

Office Location

Street Address 300 VEAZEY RD
City BUTNER
State NC
Zip Code 27509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467561068 Shiela Jane Koehn Occupational Therapy Assistant 300 Veazey Rd, Butner, NC 27509-0001 2006-08-29
1942743125 Helen Elizabeth Clarke Social Worker 300 Veazey Rd, Central Regional Hospital, Butner, NC 27509 2016-11-21
1538519418 Antonisha Floyd Counselor 300 Veazey Rd, Butner, NC 27509 2016-06-21
1316380900 Howard J Peckman Pharmacist 300 Veazey Rd, Butner, NC 27509-1626 2013-04-12
1356684443 Elizabeth Johnson Sumner Psychiatry & Neurology 300 Veazey Rd, Central Regional Hospital, Butner, NC 27509 2013-03-27
1497092464 Jenna Godfrey Psychologist 300 Veazey Rd, Butner, NC 27509-1668 2013-01-11
1467789255 Kelly Johnson Fleming Pharmacist 300 Veazey Rd, Central Regional Hospital Pharmacy, Butner, NC 27509-1626 2009-11-16
1184877474 Erika Silver Social Worker 300 Veazey Rd, Central Regional Hospital-gsu, Butner, NC 27509 2008-10-30
1720243389 Ashley Nazworth Social Worker 300 Veazey Rd, Butner, NC 27509-3703 2008-07-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285196980 Kara Holden Psychologist Old Nc Hwy 75, Butner, NC 27509 2019-04-02
1891256459 Brandon Anthony Jones Nurse Practitioner 3000 Old Hwy 75, Butner, NC 27509 2019-03-27
1003327180 Jordan Tryhubenko Pharmacist Old N. Carolina Hwy 75, Butner, NC 27509 2017-10-17
1588182695 Brittini Hanna Harbin Social Worker Central Regional Hospital, 300 Veazey Rd., Butner, NC 27509 2017-09-08
1306387568 Danielle Harris Counselor 101 W H St, Butner, NC 27509 2017-03-20
1679014195 Brittany Griffin Social Worker 100 H St, Butner, NC 27509 2017-03-16
1881946952 Derick Phillip Internal Medicine Old Oxford Highway 75 Lsci, Federal Correctional Complex, Butner, NC 27509 2012-10-12
1518215268 Karla Bowens Physician Assistant Fmc Butner Old Highway 75, Butner, NC 27509 2012-08-28
1639456262 Federal Med Center - Butner Pharmacy Old Nc 75, Butner, NC 27509 2011-11-10
1659671220 Brandon Fraser Wyche Physician Assistant Fci Butner Medium II Old Nc Hwy 75, Butner, NC 27509 2010-10-28
Find all providers in zip 27509

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588182695 Brittini Hanna Harbin Social Worker Central Regional Hospital, 300 Veazey Rd., Butner, NC 27509 2017-09-08
1679014195 Brittany Griffin Social Worker 100 H St, Butner, NC 27509 2017-03-16
1891141354 Chante' R Clark Social Worker 300 Veazey Rd., Butner, NC 27509-1668 2016-05-13
1376980235 Dierdra L. Oretade Social Worker Old Oxford Highway 75, Butner, NC 27509-4600 2013-05-31
1699919274 Ashley Anna Cyr Social Worker 300 Veazey Drive, Butner, NC 27509 2009-04-27
1437306065 Traci Michelle Gescak Social Worker 300 Veasey Dr., Butner, NC 27509 2008-08-26
1497826234 Karen Terry Social Worker 100 H Street, Butner, NC 27509 2006-11-13
1194810630 Robert Christopher Mckellar Social Worker 1300 12th Street, Butner, NC 27509 2006-10-03
1770678203 Barry Lewis Phillips Social Worker 1003 12th. Street, Butner, NC 27509 2006-10-03
1245323849 David Jay Orovitz Social Worker 300 Veasey Road, Butner, NC 27509-1626 2006-10-02
Find all providers in BUTNER

Competitor

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City BUTNER
Zip Code 27509

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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