Elizabeth Anyce Kelly, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00945877 Issued in WV

Practice address

93 W Main St
Buckhannon, WV 26201-2236

Phone

(304) 472-2643

NPI assigned

Mar 30, 2021

Last updated

Jul 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Mountain Cap of West Virginia Inc.

  • Clinical Social Worker
  • Buckhannon, WV
  • NPI 1245753250
  NPD

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1578141891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 N KANAWHA ST STE 201",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012767",
            "telephone_number": "304-472-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W MAIN ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012236",
            "telephone_number": "304-472-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ELIZABETH",
        "middle_name": "ANYCE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Karashin, D.O.
• Karl C Boone DC Inc
• Marilyn Kay Keith
• Samantha Kelley
• William Earl Kelley Jr., MD
• Amanda Ketterman, CNM
• Ali A Khan, M.D.
• Marci Kidd
• James J Kim, M.D.
• Carly King

• Clinical Social Worker in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.