Individual provider · Type 1 NPI

Demelza Mary Pengelly, MSW, LCSW, LCAS-A

Clinical Social Worker · Butner, NC

NPI number 1245774819 Active

Practice location

300 Veazey Rd
Butner, NC 27509

Call (199) 764-7200 Map

Mailing address

615 Grist Mill Ln
Durham, NC 27712-9513

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X221410 (MA)
Social Worker 104100000XP011117 (NC)
Clinical Social Worker Primary 1041C0700XC012121 (NC)

Clinical Social Worker: 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 interpers…

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About NPI 1245774819

Demelza Mary Pengelly, MSW, LCSW, LCAS-A's National Provider Identifier is 1245774819, issued on Dec 15, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Butner, NC. The record was last updated on Oct 1, 2019.