DEMELZA MARY PENGELLY MSW, LCSW, LCAS-A
NPI 1245774819
Social Worker - Clinical in Butner, NC

Active since December 15, 2016
300 VEAZEY RD, BUTNER, NC 27509(199) 764-7200 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2019, Apr 2, 2019, Dec 25, 2016 and 1 more (4 updates tracked since 2016).

About Demelza Mary Pengelly Msw, Lcsw, Lcas-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMELZA MARY PENGELLY MSW, LCSW, LCAS-A (NPI 1245774819) is an individual clinical provider in Butner, North Carolina, licensed in North Carolina (C012121) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1245774819
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEMELZA MARY PENGELLYCredential: MSW, LCSW, LCAS-A
Location Address300 VEAZEY RDButner, NC 27509
Mailing Address615 Grist Mill LnDurham, NC 27712-9513 · (617) 800-3701
Sole ProprietorYes
Enumeration DateDecember 15, 2016
Last NPPES UpdateOctober 1, 20194 updates tracked since enumeration
NPI 1245774819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C012121
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 221410 (MA), P011117 (NC)
300 VEAZEY RD, Butner, NC 27509

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
300 VEAZEY RD, CENTRAL REGIONAL HOSPITAL-GSU
BUTNER, NC 27509
Social Worker (Clinical)
300 VEAZEY RD
BUTNER, NC 27509
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
300 VEAZEY RD
BUTNER, NC 27509
Psychiatry & Neurology (Psychiatry)
300 VEAZEY RD, CENTRAL REGIONAL HOSPITAL
BUTNER, NC 27509
Occupational Therapy Assistant
300 VEAZEY RD
BUTNER, NC 27509
Pharmacist
300 VEAZEY RD, CENTRAL REGIONAL HOSPITAL PHARMACY
BUTNER, NC 27509
Psychologist
300 VEAZEY RD
BUTNER, NC 27509
Social Worker (Clinical)
300 VEAZEY RD
BUTNER, NC 27509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demelza Pengelly's NPI number?

The NPI number for Demelza Pengelly is 1245774819. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Where is Demelza Pengelly located?

Demelza Pengelly practices at 300 Veazey Rd, Butner, NC 27509. The listed phone number is (199) 764-7200.

What is Demelza Pengelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Demelza Pengelly was last updated on October 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.