Kelly Myles Maybin, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016461 Issued in NC

Practice address

23 Crestland Rd.
Asheville, NC 28803

Phone

(828) 277-4800

NPI assigned

Apr 1, 2020

Last updated

Oct 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, TN, DC3 enrollments

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 3

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Henderson County Hospital Corporation

  dba Pardee BlueMD-1824 Pisgah Drive

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1528707130
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC, NC, TN

  Medicare reassignment NPD
• Henderson County Hospital Corporation

  dba Pardee Rx-Fleming

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1417585688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ASHEVILLE HWY STE 5",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123479",
            "telephone_number": "828-883-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CRESTLAND RD.",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-277-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Chadwick Square Ct Ste Ac",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287393201",
            "country_code": "US",
            "telephone_number": "828-545-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYBIN",
        "first_name": "KELLY",
        "middle_name": "MYLES",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417585688",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David T May, M.D.
• Katherine Peterson May, MSN, RN, ACNS-BC
• Lisa L May, MD
• William E May, MD
• Jennifer Ann Maybee, FNP-C
• Jessica Mayeux, CRNA
• Aireonna Mayfield
• Kristin Mayfield, PH.D.
• Lisa R Mayfield, BA, LNMT, LMT
• Matthew Christopher Maynard, OTR/L

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.