Individual provider · Type 1 NPI

Kelly L. Kellerman, LCSW

Clinical Social Worker · Charlotte, NC

NPI number 1073534384 Active

Practice location

5700 Executive Center Dr, Suite 110
Charlotte, NC 28212-8858

Fax (704) 525-0949

Mailing address

350 Pee Dee Ave, Suite 101
Albemarle, NC 28001-4932

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC002690 (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 1073534384

Kelly L. Kellerman, LCSW's National Provider Identifier is 1073534384, issued on Jul 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 13, 2017.