MS. REGINA CASSANDRA KELLY LCSW
NPI 1386979763
Social Worker - Clinical in Fayetteville, NC

Active since October 02, 2009PECOS Enrolled
803 STAMPER RD STE G, FAYETTEVILLE, NC 28303(910) 261-5941(910) 550-3803 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2019, Feb 4, 2016 (2 updates tracked since 2016).

About Ms. Regina Cassandra Kelly Lcsw NPPES

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

MS. REGINA CASSANDRA KELLY LCSW (NPI 1386979763) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (C006534) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386979763
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. REGINA CASSANDRA KELLYCredential: LCSW
Location Address803 STAMPER RD STE GFayetteville, NC 28303-4193
Mailing Address1023 Fairfield CirRaeford, NC 28376-6607 · (910) 550-3803 · Fax (910) 550-3803
Fax(910) 550-3803
Sole ProprietorYes
Enumeration DateOctober 2, 2009
Last NPPES UpdateApril 29, 20192 updates tracked since enumeration
NPI 1386979763 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 · C006534
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.
803 STAMPER RD STE G, Fayetteville, NC 28303

Other Identifiers 1

Medicaid6005589NC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Regina Cassandra Kelly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

Counselor (Addiction (Substance Use Disorder))
803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
Counselor (Addiction (Substance Use Disorder))
803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
Counselor (Professional)
803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
Counselor (Mental Health)
803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
803 STAMPER RD STE G
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
803 STAMPER RD STE G
FAYETTEVILLE, NC 28303

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 Regina Kelly's NPI number?

The NPI number for Regina Kelly is 1386979763. It was assigned to this individual provider in the NPPES registry on October 2, 2009.

Where is Regina Kelly located?

Regina Kelly practices at 803 Stamper Rd Ste G, Fayetteville, NC 28303. The listed phone number is (910) 261-5941.

What is Regina Kelly's specialty?

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

Is Regina Kelly enrolled in Medicare?

Yes. Regina Kelly is registered in the Medicare PECOS enrollment system.

What insurance does Regina Kelly accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Regina Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regina Kelly was last updated on April 29, 2019. 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.