MRS. KELLY MARIE BERRY (NPI# 1306332234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306332234 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE BERRY |
| Credential | LCSW-A |
| Practice Address |
803 S Walker St Burgaw NC 28425-5001 |
| Mailing Address |
615 Shipyard Blvd Wilmington NC 28412-6431 |
| Practice Telephone | 9102590668 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P012306 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Coastal Horizons Dr, Shallotte, NC 284706094 | 9107544515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790148153 | Kelly Berry | Nurse Practitioner | 8734 E Semple St, Tucson, AZ 85747-9073 | 2016-04-03 |
| 1891004123 | Kelly Berry | Physical Therapist | 1086 Highway 315 Blvd # 315, Plains, PA 18702-7012 | 2010-10-05 |
| 1205090883 | Kelly Berry | Social Worker | 715 Galapago St, Denver, CO 80204-4441 | 2008-07-14 |
| 1326151358 | Kelly L. Berry | Counselor | 1910 S Hamilton Rd, Nashville, TN 37218-3217 | 2006-08-16 |
| 1336668870 | Kelly S Berry | Dietitian, Registered | 272 Benedict Avenue, Norwalk, OH 44857 | 2017-09-15 |
| 1528444270 | Kelly Michele Berry | Speech-Language Pathologist | 75 W Commercial St, 205, Portland, ME 04101-4797 | 2015-08-05 |
| 1548571458 | Kelly Ann Berry | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5724 | 2010-06-24 |
| Street Address |
803 S WALKER ST |
| City | BURGAW |
| State | NC |
| Zip Code | 28425-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073543682 | Charles Alan Barrett | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2006-07-03 |
| 1922617331 | Megan Sarah Buchheister | Dietitian, Registered | 803 S Walker St, Burgaw, NC 28425-5001 | 2020-07-31 |
| 1033683834 | Ashley Clair Batts | Nurse Practitioner | 803 S Walker St, Burgaw, NC 28425-5001 | 2019-01-15 |
| 1538648472 | Dennisha Sue Pauley | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-08-10 |
| 1235622440 | Sylvia Gail Bellamy-simpson | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-06-12 |
| 1477050607 | Lindsey M Lawrence | Physician Assistant | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-04-13 |
| 1043714652 | Regan Margaret Springs | Social Worker | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-03-19 |
| 1619491396 | Sharinetta Nicole Murray | Counselor | 803 S Walker St, Burgaw, NC 28425-5001 | 2017-08-03 |
| 1720500754 | Pamela Balogh | Nurse Practitioner | 803 S Walker St, Burgaw, NC 28425-5001 | 2017-07-12 |
| 1922541226 | Crystal Lauren Cheap | Counselor | 803 S Walker St, Burgaw, NC 28425 | 2016-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1255978912 | David L Populus Jr. | Preventive Medicine | 1638 Hwy 53, Burgaw, NC 28425 | 2019-12-02 |
| 1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
| 1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
| 1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
| 1881136851 | Pender Pediatric Therapy, PC | Speech-Language Pathologist | 126 W. Fremont St., Burgaw, NC 28425 | 2016-11-08 |
| 1821424771 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 206 Us Highway 117 S, Burgaw, NC 28425 | 2013-09-24 |
| 1679816193 | Kerry Dawn Daraskavich | Physical Therapist | 311 South Campell Street, Burgaw, NC 28425 | 2013-04-03 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
| Find all providers in zip 28425 | ||||
| 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 |
|---|---|---|---|---|
| 1285971325 | Arlene Marie Mulholland | Social Worker | 16972 Us Highway 421, Burgaw, NC 28425-2572 | 2013-01-09 |
| 1982863247 | Monique Cecillia Boyd | Social Worker | 309 Progress Drive, Burgaw, NC 28425 | 2008-06-03 |
| 1043838055 | Holly Mckoy | Social Worker | 309 Progress Dr, Burgaw, NC 28425-3280 | 2020-07-07 |
| 1033762224 | Macy Leigh Baynor | Social Worker | 309 Progress Dr, Burgaw, NC 28425-3280 | 2019-07-17 |
| 1902462930 | Marjorie Justice | Social Worker | 309 Progress Drive, Burgaw, NC 28425-5001 | 2019-05-15 |
| 1043714652 | Regan Margaret Springs | Social Worker | 803 S Walker St, Burgaw, NC 28425-5001 | 2018-03-19 |
| 1114447430 | Laura Theresa O'connor | Social Worker | 309 Progress Dr, Burgaw, NC 28425-3280 | 2017-06-27 |
| 1922559632 | Anna Elizabeth Miller | Social Worker | 803 S Walker St, Burgaw, NC 28425-5001 | 2016-10-18 |
| 1831591239 | Judith Knisely | Social Worker | 803 S Walker St, Burgaw, NC 28425-5001 | 2014-09-17 |
| 1598172496 | Jamie Elizabeth Alper | Social Worker | 309 Progress Dr, Burgaw, NC 28425-3280 | 2014-07-13 |
| Find all providers in BURGAW | ||||
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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.