Individual provider · Type 1 NPI

Kelly Jo Vancelette, L.C.S.W.

Clinical Social Worker · Clayton, NC

NPI number 1689622706 Active

Practice location

2076 Veterans Pkwy Ste 220
Clayton, NC 27520-5303

Call (855) 501-1004 Map

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC003475 (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 1689622706

Kelly Jo Vancelette, L.C.S.W.'s National Provider Identifier is 1689622706, issued on May 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Clayton, NC. The record was last updated on May 6, 2026.