Individual provider · Type 1 NPI

Kelly Dejesus, LCSWA

Clinical Social Worker · Raleigh, NC

NPI number 1972230753 Active

Practice location

2409 Crabtree Blvd
Raleigh, NC 27604-4544

Mailing address

2805 Smoke Pl
Raleigh, NC 27610-5989

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC019237 (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 1972230753

Kelly Dejesus, LCSWA's National Provider Identifier is 1972230753, issued on Aug 2, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Feb 3, 2026.