Individual provider · Type 1 NPI

Kenderlin Jovan Kelly

Clinical Social Worker · Fayetteville, NC

NPI number 1609570548 Active

Practice location

138 Hunter Cir
Fayetteville, NC 28304-3422

Call (910) 684-3593 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP018840 (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 1609570548

Kenderlin Jovan Kelly's National Provider Identifier is 1609570548, issued on Mar 27, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NC. The record was last updated on Jul 22, 2025.