Shelly Kay Blackstone, MSW, LCSW-A is a
Social Worker - Clinical based in Kitty Hawk, North Carolina. Shelly Kay Blackstone is licensed to practice in North Carolina (license number P023069) and her current practice location is
4112 N Croatan Hwy, Kitty Hawk, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 573-2200.
NPI number for Shelly Kay Blackstone is 1154281756 and her current mailing address is Po Box 1115, Nags Head, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154281756.
Healthcare Provider's Profile
| Full Name | Shelly Kay Blackstone |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4112 N Croatan Hwy, Kitty Hawk, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154281756
- Provider Enumeration Date: 11/15/2025
- Last Update Date: 11/15/2025
Medical Identifiers
Medical identifiers for Shelly Kay Blackstone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154281756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | P023069 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly Kay Blackstone is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shelly Kay Blackstone, MSW, LCSW-A Po Box 1115, Nags Head, NC 27959-1115 Ph: (252) 573-2200 | Shelly Kay Blackstone, MSW, LCSW-A 4112 N Croatan Hwy, Kitty Hawk, NC 27949-6075 Ph: (252) 573-2200 |
Reviews and Comments