Individual provider Active NPI

Jane Kelley, MSW, LCSW

  • Clinical Social Worker
  • Smithfield, NC
National Provider Identifier
1346922218
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019868 Issued in NC
Practice address
1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876
Phone
(919) 934-1312
NPI assigned
Aug 1, 2023
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C019868 NC Primary

Addresses

Primary practice location

1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876

Mailing address

1319 N Brightleaf Blvd Ste F
Smithfield, NC 27577-4876
Phone (919) 934-1312

Other practice location 1

600 New Waverly Pl Ste 203
Cary, NC 27518-7404
Phone (919) 410-7083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430000079 NC Practitioner - Clinical Social Worker 5698242337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2416 Bedgood Dr SW
Wilson, NC 27893-8515

3404 English Cir
Willow Spring, NC 27592-9242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C019868NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Clinical PastSince Aug 6, 2023 Accepting new patients
Pride in North Carolina, LLC PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1346922218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312",
            "fax_number": "919-934-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N BRIGHTLEAF BLVD STE F",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774876",
            "telephone_number": "919-934-1312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 New Waverly Pl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187404",
            "country_code": "US",
            "telephone_number": "919-410-7083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JANE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.