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MR. KEVIN RICHARD DONNELLY MSW, LCSW
NPI 1780989004
Social Worker - Clinical in Winston Salem, NC

Active since January 18, 2011
4035 UNIVERSITY PKWY, SUITE 101, WINSTON SALEM, NC 27106(336) 397-1560 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Richard Donnelly Msw, Lcsw NPPES

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

MR. KEVIN RICHARD DONNELLY MSW, LCSW (NPI 1780989004) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C007123) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1780989004
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEVIN RICHARD DONNELLYCredential: MSW, LCSW
Location Address4035 UNIVERSITY PKWY, SUITE 101Winston Salem, NC 27106-3276
Mailing Address3919 Avera AveWinston Salem, NC 27106-1601 · (336) 575-5776
Phone(336) 397-1560
Sole ProprietorNo
Enumeration DateJanuary 18, 2011
✔ NPI 1780989004 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 · C007123
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.
4035 UNIVERSITY PKWY, Winston Salem, NC 27106
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Other Providers at the Same Location NPPES 12

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

INSTITUTE FOR FAMILY CENTERED SERVICES
Early Intervention Provider Agency
4035 UNIVERSITY PKWY, SUITE 101
WINSTON SALEM, NC 27106
Forsyth County (336) 397-1563
PINNACLE FAMILY SERVICES OF NORTH CAROLINA LLC
Community/Behavioral Health
4035 UNIVERSITY PKWY, STE 101
WINSTON SALEM, NC 27106
Forsyth County (336) 397-1560
LESLIE MANN LMFTA
Marriage & Family Therapist
4035 UNIVERSITY PKWY, SUITE 101
WINSTON SALEM, NC 27106
Forsyth County (336) 397-1560
NATIONAL MENTOR HEALTHCARE, LLC
Public Health or Welfare
4035 UNIVERSITY PKWY, SUITE 101
WINSTON SALEM, NC 27106
Forsyth County (336) 397-1560
DOCTORS HOME VISITS OF THE TRIAD, PC
Home Health
4035 UNIVERSITY PKWY, SUITE 100
WINSTON-SALEM, NC 27106
Forsyth County (336) 896-0826
WANDA PEARMAN
Counselor (Mental Health)
4035 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Forsyth County (336) 397-1560
MRS. LISA FRIEBELE MORRIS LPC, NCC
Counselor (Professional)
4035 UNIVERSITY PKWY, SUITE 101
WINSTON SALEM, NC 27106
Forsyth County (336) 816-3712
MRS. STACEY HEPLER INMAN M.A., L.C.A.S, C.C.S
Counselor (Professional)
4035 UNIVERSITY PKWY
WINSTON SALEM, NC 27106
Forsyth County (336) 561-1268

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 Kevin Donnelly's NPI number?

The NPI number for Kevin Donnelly is 1780989004. It was assigned to this individual provider in the NPPES registry on January 18, 2011.

Where is Kevin Donnelly located?

Kevin Donnelly practices at 4035 University Pkwy Suite 101, Winston Salem, NC 27106. The listed phone number is (336) 397-1560.

What is Kevin Donnelly'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 Kevin Donnelly was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.