Meg Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004622 Issued in NC

Practice address

140 Health Care LN
Marshall, NC 28753-6350

Phone

(828) 649-9174

Fax

(888) 649-9161

NPI assigned

Dec 4, 2006

Last updated

Nov 28, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1629146824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WILDE BROOK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061052",
            "telephone_number": "828-380-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HEALTH CARE LN",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536350",
            "telephone_number": "828-649-9174",
            "fax_number": "888-649-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MEG",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingles Markets Inc (Ingles Pharmacy #028)
• Lydia M Jeffries, M.D.
• Kenya B Johnson, PA
• Curry Jones, D.O
• Dana M Jones, MD
• Sherrie Kerns, FNP-C
• Amber Paris Kirkpatrick, LCSWA
• Sarah Noelle Kmosko
• Jennifer Knapp, CCC-SLP
• Ginelle Elisabeth Krummey, MA LCMHC NCC

• Clinical Social Worker in Marshall, NC
• Providers in Marshall, 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 Nov 28, 2012; 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.