KELLY WAITE (NPI# 1558790840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558790840 |
| Entity Type | Individual |
| Full Name | KELLY WAITE |
| Credential | LCSWA |
| Practice Address |
2300 Ramsey St Fayetteville NC 28301-3856 |
| Mailing Address |
2724 Olivia Rd Sanford NC 27332-3241 |
| Practice Telephone | 9104882120 |
| Mailing Telephone | 9193525196 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | P008010 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2300 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971587 | Nwaobiara Obi-gwacham | Internal Medicine | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2005-06-09 |
| 1669072492 | Linda Xiong | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-30 |
| 1861092082 | Teresa Wells | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-27 |
| 1528666781 | Amina Chaudhry | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-10-11 |
| 1356957526 | Ashley R Parker | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-22 |
| 1295341014 | Andrea Bell Jones | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-17 |
| 1770199614 | Tara Anne Bright | Recreation Therapist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-16 |
| 1578177465 | Shani Marcay Hamilton | Respiratory Therapist, Registered | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-09-08 |
| 1356969562 | Makenzie Lea Benton | Pharmacist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-07-14 |
| 1942826490 | Jenna Sedberry | Dentist | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326027 | Kerri Adams | Social Worker | 4170 W Mlk Blvd Ste 901, Fayetteville, AR 72704-7702 | 2020-08-13 |
| 1427683655 | Zoe Janell Bridger | Social Worker | 159 Maxwell St Rm 67, Fayetteville, NC 28301-5592 | 2020-03-09 |
| 1427698828 | Yazlyn Maria Jacobs | Social Worker | 5403 Nessee St, Fayetteville, NC 28314-4600 | 2020-01-14 |
| 1801356399 | Ophelia Bates | Social Worker | 115 Baywatch Cir, Fayetteville, GA 30215-4671 | 2019-03-21 |
| 1679032296 | Mary Elizabeth Morgan | Social Worker | 6803 Holliston Cir, Fayetteville, NY 13066-1708 | 2019-03-13 |
| 1356825830 | Erica Bell | Social Worker | 110 Habersham Dr Ste 142, Fayetteville, GA 30214-1381 | 2018-09-20 |
| 1245725415 | Brittany Nicole Jenkins | Social Worker | 692 Dowfield Dr, Fayetteville, NC 28311-2068 | 2018-06-28 |
| 1053816827 | Peggie Tisdale-brown | Social Worker | 1864 E Parkshore Dr Apt 11, Fayetteville, AR 72703-6268 | 2018-03-26 |
| 1164923330 | Sherri Holmes | Social Worker | 96 N Blackberry Ln, Fayetteville, PA 17222-9364 | 2018-02-23 |
| 1104337625 | All-american Counseling Wellness | Social Worker | 5619 Ramsey St, Fayetteville, NC 28311-1423 | 2017-10-24 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on KELLY WAITE.
| 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.