MRS. KELLY F ROBERTS (NPI# 1508908617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508908617 |
| Entity Type | Individual |
| Full Name | MRS. KELLY F ROBERTS |
| Credential | LCSW |
| Practice Address |
704 North Hwy 64 Manteo NC 27954 |
| Mailing Address |
Po Box 161 704 North Hwy 64 Manteo NC 27954 |
| Practice Telephone | 2524734727 |
| Practice Fax Number | 2524734727 |
| Mailing Telephone | 2524734727 |
| Mailing Fax Number | 2524734727 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C003505 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS OF NC | 1301J | 01 |
| NC | 6002355 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090534 | Kelly Roberts | Social Worker | 2520 Hampton Rd Ste 18, Erie, PA 16502-2073 | 2017-08-23 |
| 1568912129 | Kelly M Roberts | Nurse Practitioner | 555 W Pine Street, Farmington, MO 63640 | 2016-10-07 |
| 1912353160 | Kelly Roberts | Peer Specialist | 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 | 2016-05-06 |
| 1861893075 | Kelly C. Roberts | Specialist/Technologist | 7676 Canberra Way, Riverside, CA 92508-6048 | 2014-09-07 |
| 1992024152 | Kelly Roberts | Psychologist | 5648 William Penn Hwy, Export, PA 15632 | 2010-05-26 |
| 1477706109 | Kelly S Roberts | Occupational Therapist | 25 Van Buren St, Albany, NY 12206-1222 | 2008-10-26 |
| 1396768719 | Kelly M Roberts | Audiologist | 119 Se Wilson Ave, Bend, OR 97702-1714 | 2006-07-26 |
| 1699382465 | Kelly Roberts | Student in an Organized Health Care Education/Training Program | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2020-09-25 |
| 1609410133 | Kelly Elizabeth Roberts | Speech-Language Pathologist | 52 3rd Ave, Brentwood, NY 11717-4651 | 2019-10-28 |
| 1538611934 | Kelly Roberts | Nurse Practitioner | 3727 Friendsville Rd, Unit 200, Wooster, OH 44691-7131 | 2016-11-01 |
| Street Address |
704 NORTH HWY 64 |
| City | MANTEO |
| State | NC |
| Zip Code | 27954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316598873 | Island Pharmacy Inc | Pharmacy | 210 S Us Hwy 64/264, Manteo, NC 27954 | 2019-09-26 |
| 1104300847 | Saskia Thompson | Pharmacist | Cvs, 1115 South, Us-64, Manteo, NC 27954 | 2018-09-19 |
| 1619372273 | Gina Booth | Massage Therapist | 711 N Hwy 64, Manteo, NC 27954 | 2014-10-24 |
| 1184052870 | Katherine Ruth Moore | Pharmacist | 1115 South Us Highway 64, Manteo, NC 27954 | 2013-10-16 |
| 1033556162 | Troy B Sluder IIi Dds Pllc | Dentist | 503 Cypress Lane Suite C, Manteo, NC 27954 | 2013-05-30 |
| 1013219369 | Amanda Elizabeth Hall | Speech-Language Pathologist | 706 Arvilla Lane, Manteo, NC 27954 | 2010-11-18 |
| 1912186735 | Making A Difference Community Support LLC | Clinic/Center | 102 Old Tom Ave., Manteo, NC 27954 | 2007-10-29 |
| 1619156718 | Dare Medical & Cardiovascular Associates | Internal Medicine | 604 Amanda Street, Manteo, NC 27954 | 2007-10-25 |
| 1518164607 | Heather R Wedgworth | Physical Therapist | 110 S Us Hwy 64/264, Manteo, NC 27954 | 2007-07-02 |
| 1306048186 | Dare County Department of Social Services | Public Health or Welfare | 107 Exeter St., Manteo, NC 27954 | 2007-06-04 |
| Find all providers in zip 27954 | ||||
| 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 |
|---|---|---|---|---|
| 1861876914 | J. Demooy Counseling Services, LLC | Social Worker | 207 Queen Elizabeth Ave, #28, Manteo, NC 27954-9282 | 2015-07-17 |
| 1386798197 | Albemarle Mental Health Center | Social Worker | 407 N Main Hwy, Manteo, NC 27954 | 2007-01-22 |
| 1215491949 | Sarah Ann Gist | Social Worker | 109 Exeter St, Manteo, NC 27954-9400 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.