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).
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 |
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 |
Street Address |
300 VEAZEY RD |
City | BUTNER |
State | NC |
Zip Code | 27509 |
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 |
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 Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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 |
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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.