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MR. KELLY JAY POOLE LCSW
NPI 1760419725
Social Worker - Clinical in Randleman, NC

Active since June 27, 2006
4270 HEATH DAIRY RD, RANDLEMAN, NC 27317(336) 495-2700(336) 495-5552 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kelly Jay Poole Lcsw NPPES

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

MR. KELLY JAY POOLE LCSW (NPI 1760419725) is an individual clinical provider in Randleman, North Carolina, licensed in North Carolina (C001120) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1760419725
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KELLY JAY POOLECredential: LCSW
Location Address4270 HEATH DAIRY RDRandleman, NC 27317-7489
Mailing AddressPo Box 814Randleman, NC 27317-0814 · (336) 495-2700 · Fax (336) 495-5552
Phone(336) 495-2700
Fax(336) 495-5552
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760419725 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 · C001120
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.
4270 HEATH DAIRY RD, Randleman, NC 27317
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Other Identifiers 2

Medicare ID-Type Unspecified2864666BNC
Medicaid6002280NC

Other Providers at the Same Location NPPES 2

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

THERAPEUTIC ALTERNATIVES, INC.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4270 HEATH DAIRY RD
RANDLEMAN, NC 27317
Randolph County (336) 495-2723
THERAPEUTIC ALTERNATIVES, INC.
Community/Behavioral Health
4270 HEATH DAIRY RD
RANDLEMAN, NC 27317
Randolph County (336) 495-2700

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 Poole's NPI number?

The NPI number for Kelly Poole is 1760419725. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Kelly Poole located?

Kelly Poole practices at 4270 Heath Dairy Rd, Randleman, NC 27317. The listed phone number is (336) 495-2700.

What is Kelly Poole'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 Poole was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.