Individual provider Active NPI

Kathryn Kelley, MSW, LCSWA, LCAS

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1437824786
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P017207 Issued in NC
Practice address
80 Louisiana Ave
Asheville, NC 28806-3448
Phone
(603) 247-0850
NPI assigned
Aug 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P017207 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-27299 NC

Addresses

Primary practice location

80 Louisiana Ave
Asheville, NC 28806-3448

Mailing address

80 Louisiana Ave
Asheville, NC 28806-3448
Phone (603) 247-0850

Other practice location 1

77 Central Ave Ste C
Asheville, NC 28801-2451
Phone (828) 393-0902

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
I20260324002141 NC Practitioner - Clinical Social Worker 9739620774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ellie of Avl Central, PLLCGroup PAC ID 6507308970, 9 clinicians

Practice addresses (Care Compare)

77 Central Ave
Suite C
Asheville, NC 28801-2451
Phone (828) 393-0902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie of Avl Central, PLLC CurrentSince Aug 1, 2024 Accepting new patients
New Moon Wellness PLLC Clinical PastSince Mar 3, 2024 Accepting new patients

Locations

77 Central Ave
Ste C
Asheville, NC 28801
Phone (828) 393-0902

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1437824786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LOUISIANA AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063448",
            "telephone_number": "603-247-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LOUISIANA AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063448",
            "telephone_number": "603-247-0850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Central Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288012451",
            "country_code": "US",
            "telephone_number": "828-393-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KATHRYN",
        "credential": "MSW, LCSWA, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017207",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-27299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.