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KELLY RUSHER SANDERFORD
NPI 1669102828
Social Worker - Clinical in Raleigh, NC

Active since June 12, 2022
417 N BLOUNT ST STE 200, RALEIGH, NC 27601(919) 249-8281 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2026, Jun 12, 2022 (2 updates tracked since 2022).

About Kelly Rusher Sanderford NPPES

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

KELLY RUSHER SANDERFORD (NPI 1669102828) is an individual clinical provider in Raleigh, North Carolina, licensed in North Carolina (C017708) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1669102828
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY RUSHER SANDERFORD
Location Address417 N BLOUNT ST STE 200Raleigh, NC 27601-1009
Mailing Address338 Cedar Creek DrWendell, NC 27591-7579 · (919) 741-1730
Phone(919) 249-8281
Sole ProprietorYes
Enumeration DateJune 12, 2022
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1669102828 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 · C017708
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.
417 N BLOUNT ST STE 200, Raleigh, NC 27601
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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.

EMILY COLLIE
Counselor (Mental Health)
417 N BLOUNT ST STE 200
RALEIGH, NC 27601
Wake County (919) 249-8281

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 Kelly Sanderford's NPI number?

The NPI number for Kelly Sanderford is 1669102828. It was assigned to this individual provider in the NPPES registry on June 12, 2022.

Where is Kelly Sanderford located?

Kelly Sanderford practices at 417 N Blount St Ste 200, Raleigh, NC 27601. The listed phone number is (919) 249-8281.

What is Kelly Sanderford'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 Kelly Sanderford was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.