Courtney Kelley, LCSW
Individual provider Active NPI Clinical Social Worker · Goodview, VA
NPI 1336092162 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1336092162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904015152 (VA)
- Practice address
- 2852 Morgans Mill Rd
Goodview, VA 24095-2805 - Phone
- (540) 676-5520
- NPI assigned
- Feb 19, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904015152 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glow Therapy, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904015152 | VA | Yes |
Addresses
Primary practice location
2852 Morgans Mill Rd
Goodview, VA 24095-2805
Mailing address
2852 Morgans Mill Rd
Goodview, VA 24095-2805
Phone (540) 676-5520
Other providers in Goodview, VA
- Family Preservation Services, Inc
- Glow Therapy, LLC
- Cynthia Hartless
- Ronnie Wayne Harvey
- Katie'S Caregiving Services/Needs LLC
- Stephen Smith Kennedy
- Cindy Marek
- Joshua Scott
- Elizabeth Rorrer Shortt
- Shannon E Tyler
All providers in Goodview, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.