Individual provider · Type 1 NPI

Kendal Kae Blackwelder Gulledge, LCSW, LCAS

Clinical Social Worker · Denver, NC

NPI number 1447655634 Active

Practice location

2485 N Nc 16 Business Hwy Ste 100
Denver, NC 28037-8256

Call (704) 657-4665 Map

Mailing address

2634 Andrew Point Dr
Denver, NC 28037-5455

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	LCAS-21179 (NC)
Clinical Social Worker	1041C0700X	C010491 (NC)
Clinical Social Worker Primary	1041C0700X	None 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 1447655634

Kendal Kae Blackwelder Gulledge, LCSW, LCAS's National Provider Identifier is 1447655634, issued on Oct 30, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Denver, NC. The record was last updated on Mar 5, 2025.