MRS. KELLY JO VANCELETTE L.C.S.W.
NPI 1689622706
Social Worker - Clinical in Clayton, NC

Q: What is Kelly Jo Vancelette's NPI number?

The NPI number for Kelly Jo Vancelette is 1689622706. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Kelly Jo Vancelette's specialty?

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

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

2076 VETERANS PKWY STE 220, CLAYTON, NC 27520(855) 501-1004 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Jul 14, 2023, Feb 29, 2016 (3 updates tracked since 2016).

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About Mrs. Kelly Jo Vancelette L.c.s.w. NPPES

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

MRS. KELLY JO VANCELETTE L.C.S.W. (NPI 1689622706) is an individual clinical provider in Clayton, North Carolina, licensed in North Carolina (C003475) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1997).

NPPES Registry Identity

NPI1689622706

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. KELLY JO VANCELETTECredential: L.C.S.W.

Location Address2076 VETERANS PKWY STE 220Clayton, NC 27520-5303

Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954 · (855) 501-1004

Phone(855) 501-1004

Sole ProprietorYes

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1997

Enumeration DateMay 4, 2006

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1689622706 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 · C003475

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.

2076 VETERANS PKWY STE 220, Clayton, NC 27520

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Other Identifiers 1

Medicaid6003178NC

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kelly Jo Vancelette L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547209074

PECOS Enrollment IDI20050425001209

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 27520 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 6

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

MR. BILLY JONES LCSW

Social Worker (Clinical)