Carol Lisa Kelley, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5281C Issued in AL

Practice address

699 Shelton Cove LN
Auburn, AL 36830-1468

Phone

(334) 444-4621

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1518668128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 SHELTON COVE LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368301468",
            "telephone_number": "334-444-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 SHELTON COVE LN",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368301468",
            "telephone_number": "334-444-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CAROL",
        "middle_name": "LISA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5281C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Hope Kapka
• Kate W. Oelschlager
• Dave Kaufmann
• Patricia Kaylen Keen, PHARMD
• Jennifer Cooper Keller, RPH
• Crystal Kelley, PH.D.
• Taylor Lane Kellogg
• Allison F Kelly, AU.D., CCC-A
• Scott A Ketring, PH.D.
• Tuba Khan

• Clinical Social Worker in Auburn, AL
• Providers in Auburn, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.