Individual provider · Type 1 NPI

Crystal Dianne Kellam, MSW

Clinical Social Worker · Greenville, NC

NPI number 1265084800 Active

Practice location

525 Moye Blvd
Greenville, NC 27834-2849

Call (252) 744-1406 Map

Fax (252) 744-4270

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X24703 (NC)
Clinical Social Worker Primary 1041C0700XC013218 (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…

8 other providers at this address

Other clinical social worker providers in Greenville

See all in Greenville →

About NPI 1265084800

Crystal Dianne Kellam, MSW's National Provider Identifier is 1265084800, issued on Jul 14, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, NC. The record was last updated on Jun 18, 2025.