Individual provider · Type 1 NPI

Kandis Kelly, LCSWA

Clinical Social Worker · Raleigh, NC

NPI number 1407217011 Active

Practice location

3401 Carl Sandburg Ct
Raleigh, NC 27610-2049

Call (919) 987-2792 Map

Fax (919) 212-8581

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP009671 (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 1407217011

Kandis Kelly, LCSWA's National Provider Identifier is 1407217011, issued on Mar 9, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Mar 9, 2016.