1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Social Worker
  6. NPI Profile

KELLY MARIE WASSON LCSW
NPI 1063921161
Social Worker - Clinical in Winston Salem, NC

Active since September 21, 2017
2101 PETERS CREEK PKWY STE 16-19, WINSTON SALEM, NC 27127(336) 955-1379(704) 939-1173 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2021, Sep 21, 2017 (2 updates tracked since 2017).

About Kelly Marie Wasson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE WASSON LCSW (NPI 1063921161) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C012739) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1063921161
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY MARIE WASSONCredential: LCSW
Location Address2101 PETERS CREEK PKWY STE 16-19Winston Salem, NC 27127-3726
Mailing Address2101 Peters Creek Pkwy Ste 16-19Winston Salem, NC 27127-3726 · (336) 955-1379 · Fax (704) 939-1173
Phone(336) 955-1379
Fax(704) 939-1173
Sole ProprietorNo
Enumeration DateSeptember 21, 2017
Last NPPES UpdateNovember 23, 20212 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
✔ NPI 1063921161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C012739
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2101 PETERS CREEK PKWY STE 16-19, Winston Salem, NC 27127
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROMESA BINT AMEEN MD
Pediatrics
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
UNITED HEALTH CENTERS
Dentist (General Practice)
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
AMY LEIGH LOKEN PHARMD, BCPS
Pharmacist
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (743) 219-1143
RYAN DAVIS PHARMD
Pharmacist
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
TRACY NORWOOD
Nurse Practitioner (Family)
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
UNITED HEALTH CENTERS
Pharmacy (Clinic Pharmacy)
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (336) 293-8728
UNITED HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
LINDSEY ANNE SACHS MD
Family Medicine
2101 PETERS CREEK PKWY STE 16-19
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Wasson's NPI number?

The NPI number for Kelly Wasson is 1063921161. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Kelly Wasson located?

Kelly Wasson practices at 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127. The listed phone number is (336) 955-1379.

What is Kelly Wasson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kelly Wasson was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.