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KANDIS KELLY LCSWA
NPI 1407217011
Social Worker - Clinical in Raleigh, NC

Active since March 09, 2016
3401 CARL SANDBURG CT, RALEIGH, NC 27610(919) 987-2792(919) 212-8581 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kandis Kelly Lcswa NPPES

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

KANDIS KELLY LCSWA (NPI 1407217011) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (P009671) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1407217011
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKANDIS KELLYCredential: LCSWA
Location Address3401 CARL SANDBURG CTRaleigh, NC 27610-2049
Mailing Address3401 Carl Sandburg CtRaleigh, NC 27610-2049 · (919) 987-2792 · Fax (919) 212-8581
Phone(919) 987-2792
Fax(919) 212-8581
Sole ProprietorNo
Enumeration DateMarch 9, 2016
✔ NPI 1407217011 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 · P009671
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.
3401 CARL SANDBURG CT, Raleigh, NC 27610
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Other Providers at the Same Location NPPES 10

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

TIJAUNNA MAGGIE CHAVIS LCSWA
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580
GRETA ROSE MARTIN MSW, LCSWA
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580
MARY ANN MCNEILL-SANDERS LPN
Licensed Practical Nurse
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 627-2756
SOUTHEASTERN HEALTHCARE OF NORTH CAROLINA, INC.
Community/Behavioral Health
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580
RACQUEL MERRITT LCSW, LCAS
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 987-2807
GEORGE SMITH
Social Worker (Clinical)
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 275-0726
SOUTHEASTERN WAKE ADULT DAY CENTER
Home Health
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580
MALLORYE DELORIS LOVETT RDN
Dietitian, Registered
3401 CARL SANDBURG CT
RALEIGH, NC 27610
Wake County (919) 212-8580

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 Kandis Kelly's NPI number?

The NPI number for Kandis Kelly is 1407217011. It was assigned to this individual provider in the NPPES registry on March 9, 2016.

Where is Kandis Kelly located?

Kandis Kelly practices at 3401 Carl Sandburg Ct, Raleigh, NC 27610. The listed phone number is (919) 987-2792.

What is Kandis Kelly'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 Kandis Kelly was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.