Individual provider · Type 1 NPI

Evangeline Kelly

Clinical Social Worker · Cary, NC

NPI number 1356257968 Active

Practice location

130 Preston Executive Dr Ste 202
Cary, NC 27513-8433

Mailing address

1318 Garden Crest Cir
Raleigh, NC 27609-4246

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1356257968

Evangeline Kelly's National Provider Identifier is 1356257968, issued on Aug 22, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cary, NC. The record was last updated on Aug 22, 2026.