Individual provider · Type 1 NPI

Kelly Jay Poole, LCSW

Clinical Social Worker · Randleman, NC

NPI number 1760419725 Active

Practice location

4270 Heath Dairy Rd
Randleman, NC 27317-7489

Fax (336) 495-5552

Mailing address

PO Box 814
Randleman, NC 27317-0814

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC001120 (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 1760419725

Kelly Jay Poole, LCSW's National Provider Identifier is 1760419725, issued on Jun 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Randleman, NC. The record was last updated on Jul 8, 2007.