MEDICARE: KELLEY LEIGH WHITESELL LCSWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	P013548	NC

General Provider Information

NPI Number	:	1992358642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLEY LEIGH WHITESELL LCSWA

Provider Business Mailing Address
First Line	:	4513 COUNTRY CLUB RD UNIT F203
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-6289
Country	:	US
Telephone Number	:	336-327-4536
Fax Number	:

Provider Business Practice Location Address
First Line	:	3710 JOHN PLATT DR STE A
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-4372
Country	:	US
Telephone Number	:	252-648-7850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	07/22/2019

Similar Medicare Providers

1730959040 — GEORGIA LANG
Practice Location Address:

3710A JOHN PLATT DR
MOREHEAD CITY, NC
28557-4372

Practice Phone: 252-777-3140
Practice Fax:

1750526257 — OCEANSIDE PEDIATRICS
Practice Location Address:

3701 JOHN PLATT DR
MOREHEAD CITY, NC
28557-4372

Practice Phone: 252-622-4448
Practice Fax: 252-622-4014

1316271737 — JULIA C. SPARKMAN APRN, CPNP
Practice Location Address:

3701 JOHN PLATT DR
MOREHEAD CITY, NC
28557-4372

Practice Phone: 252-622-4448
Practice Fax:

1144680802 — RHA BEHAVIORAL HEALTH NC LLC
Practice Location Address:

3710 JOHN PLATT DR STE A
MOREHEAD CITY, NC
28557-4372

Practice Phone: 252-240-1482
Practice Fax:

1649723966 — INTEGRATED FAMILY SERVICES, PLLC
Practice Location Address:

3710 JOHN PLATT DR , SUITE A
MOREHEAD CITY, NC
28557-4372

Practice Phone: 252-648-7850
Practice Fax:

1952926784 — MRS. STEPHANIE NICOLE HIGGINS M.A., BCBA, LBA
Practice Location Address:

3710A JOHN PLATT DR
MOREHEAD CITY, NC
28557-4372

Practice Phone: 862-222-0041
Practice Fax:

Directions to “ KELLEY LEIGH WHITESELL LCSWA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.