KELSEY DEE MANGAN LCSW - NPI 1194215855 - Social Worker in Charlotte, NC

Q: What is Kelsey Mangan's NPI number?

The NPI number for Kelsey Mangan is 1194215855. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is Kelsey Mangan's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Mangan was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelsey Dee Mangan Lcsw NPPES

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

KELSEY DEE MANGAN LCSW (NPI 1194215855) is an individual social worker in Charlotte, North Carolina, licensed in North Carolina (C012935) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1194215855

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKELSEY DEE MANGANCredential: LCSW

Location Address3541 RANDOLPH RD, STE 206Charlotte, NC 28211-1082

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 381-8336

Sole ProprietorNo

Enumeration DateMay 17, 2018

Last NPPES UpdateJuly 15, 202423 updates tracked since enumeration

✔ NPI 1194215855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NC · C012935

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C012935 (NC)

3541 RANDOLPH RD, Charlotte, NC 28211

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Secondary Practice Location 1

Location 13541 Randolph Rd, Ste 210Charlotte, NC 28211-1082 · Phone (704) 381-8336

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Dee Mangan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.