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MISS KELLIE MICHELLE HARDISON MSW, LCSW, QP
NPI 1093195554
Social Worker - Clinical in Washington, NC

Active since May 31, 2015
3134 MARKET STREET EXT, WASHINGTON, NC 27889(252) 945-2162(252) 975-3044 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kellie Michelle Hardison Msw, Lcsw, Qp NPPES

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

MISS KELLIE MICHELLE HARDISON MSW, LCSW, QP (NPI 1093195554) is an individual clinical provider in Washington, North Carolina, licensed in (C010737) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1093195554
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS KELLIE MICHELLE HARDISONCredential: MSW, LCSW, QP
Location Address3134 MARKET STREET EXTWashington, NC 27889-8127
Mailing Address3134 Market Street ExtWashington, NC 27889-8127 · (252) 945-2162 · Fax (252) 975-3044
Phone(252) 945-2162
Fax(252) 975-3044
Sole ProprietorYes
Enumeration DateMay 31, 2015
Last NPPES UpdateOctober 30, 2018
✔ NPI 1093195554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed · C010737✔ Licensed in NC · P008815
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.
3134 MARKET STREET EXT, Washington, NC 27889
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Other Providers at the Same Location NPPES

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

COUNTRY LIVING GUEST HOME, INC.
Psychiatric Residential Treatment Facility
3134 MARKET STREET EXT
WASHINGTON, NC 27889
Beaufort County (252) 975-3741

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 Kellie Hardison's NPI number?

The NPI number for Kellie Hardison is 1093195554. It was assigned to this individual provider in the NPPES registry on May 31, 2015.

Where is Kellie Hardison located?

Kellie Hardison practices at 3134 Market Street Ext, Washington, NC 27889. The listed phone number is (252) 945-2162.

What is Kellie Hardison'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 Kellie Hardison was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.