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MRS. KENDERLIN JOVAN KELLY
NPI 1609570548
Social Worker - Clinical in Fayetteville, NC

Active since March 27, 2023
138 HUNTER CIR, FAYETTEVILLE, NC 28304(910) 684-3593 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kenderlin Jovan Kelly NPPES

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

MRS. KENDERLIN JOVAN KELLY (NPI 1609570548) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P018840) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1609570548
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. KENDERLIN JOVAN KELLY
Location Address138 HUNTER CIRFayetteville, NC 28304-3422
Mailing Address138 Hunter CirFayetteville, NC 28304-3422 · (910) 684-3495
Phone(910) 684-3593
Sole ProprietorYes
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1609570548 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 · P018840
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.
138 HUNTER CIR, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 5

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

MR. JOSEPH LESTER WEST III LCAS
Counselor (Addiction (Substance Use Disorder))
138 HUNTER CIR
FAYETTEVILLE, NC 28304
Cumberland County (910) 684-3595
TASHERRA WARD
Social Worker (Clinical)
138 HUNTER CIR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-0958
WEST HAVEN HARMONY
Counselor (Addiction (Substance Use Disorder))
138 HUNTER CIR
FAYETTEVILLE, NC 28304
Cumberland County (910) 684-3595
SANDRA GAIL KOLB FAMILY PRACTICE
Clinic/Center (Primary Care)
138 HUNTER CIR
FAYETTEVILLE, NC 28304
Cumberland County (910) 339-4674
MELODY HOLDEN
Social Worker (Clinical)
138 HUNTER CIR
FAYETTEVILLE, NC 28304
Cumberland County (910) 684-3595

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 Kenderlin Kelly's NPI number?

The NPI number for Kenderlin Kelly is 1609570548. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Kenderlin Kelly located?

Kenderlin Kelly practices at 138 Hunter Cir, Fayetteville, NC 28304. The listed phone number is (910) 684-3593.

What is Kenderlin Kelly's specialty?

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

What insurance does Kenderlin Kelly accept?

Health plans from Blue Cross and Blue Shield of NC list Kenderlin 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 Kenderlin Kelly was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.