Individual provider Active NPI

Erin Marie Kelley, LCSWA, LCASA

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1396503918
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P019290 Issued in NC
Practice address
56 Clayton St
Asheville, NC 28801-2424
Phone
(828) 333-4907
Fax
(828) 412-3257
NPI assigned
Mar 8, 2024
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-28896 NC
Clinical Social Worker 1041C0700X P019290 NC Primary

Addresses

Primary practice location

56 Clayton St
Asheville, NC 28801-2424

Mailing address

19 Zillicoa St Ste 3
Asheville, NC 28801-1063
Phone (828) 333-4907

Other practice location 1

19 Zillicoa St Ste 3
Asheville, NC 28801-1063
Phone (828) 333-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCAS-28896NCMDAddiction (Substance Use Disorder) Counselor
P019290NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Kelley Therapy PLLC Clinical Current Accepting new patients
Out of the Woods Therapeutic Counseling, PLLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

19 Zillicoa St
Ste 3
Asheville, NC 28801
Phone (828) 333-4907

56 Clayton St
Asheville, NC 28801
Phone (828) 202-8605

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": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1396503918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ZILLICOA ST STE 3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011063",
            "telephone_number": "828-333-4907",
            "fax_number": "828-412-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 CLAYTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012424",
            "telephone_number": "828-333-4907",
            "fax_number": "828-412-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Zillicoa St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288011063",
            "country_code": "US",
            "telephone_number": "828-333-4907",
            "fax_number": "828-412-3257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ERIN",
        "middle_name": "MARIE",
        "credential": "LCSWA, LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28896",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.