KELLI MICHELLE JORDAN LCSW-A, LCAS-A
NPI 1811886195
Social Worker - Clinical in Winston Salem, NC

Active since July 01, 2025
1001 REYNOLDA RD, WINSTON SALEM, NC 27104(336) 721-7600 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 5, 2025, Jul 1, 2025 (2 updates tracked since 2025).

About Kelli Michelle Jordan Lcsw-a, Lcas-a NPPES

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

KELLI MICHELLE JORDAN LCSW-A, LCAS-A (NPI 1811886195) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (P022809) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1811886195
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLI MICHELLE JORDANCredential: LCSW-A, LCAS-A
Location Address1001 REYNOLDA RDWinston Salem, NC 27104-3245
Mailing Address597 N Franklin RdMount Airy, NC 27030-2726 · (336) 416-9571
Sole ProprietorNo
Enumeration DateJuly 1, 2025
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1811886195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · P022809
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 30985 (NC)
1001 REYNOLDA RD, Winston Salem, NC 27104

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Social Worker (Clinical)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Marriage & Family Therapist
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Counselor (Mental Health)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Residential Treatment Facility, Emotionally Disturbed Children
1001 REYNOLDA RD
WINSTON SALEM, NC 27104
Counselor (Professional)
1001 REYNOLDA RD
WINSTON SALEM, NC 27104

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 Kelli Jordan's NPI number?

The NPI number for Kelli Jordan is 1811886195. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Kelli Jordan located?

Kelli Jordan practices at 1001 Reynolda Rd, Winston Salem, NC 27104. The listed phone number is (336) 721-7600.

What is Kelli Jordan's specialty?

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

What insurance does Kelli Jordan accept?

Health plans from Blue Cross and Blue Shield of NC list Kelli Jordan 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 Kelli Jordan was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.