Kelly Rusher Sanderford

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017708 Issued in NC

Practice address

417 N Blount St Ste 200
Raleigh, NC 27601-1009

Phone

(919) 249-8281

NPI assigned

Jun 12, 2022

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": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1669102828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 CEDAR CREEK DR",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275917579",
            "telephone_number": "919-741-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N BLOUNT ST STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011009",
            "telephone_number": "919-249-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERFORD",
        "first_name": "KELLY",
        "middle_name": "RUSHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Andres Sanchez
• Margie Sanchez
• Matthew Moses Sanchez, LPC
• Saynelly Sanchez
• Kelly Sandberg, M.S. CCC/SLP
• Amber Alexus Sanders, LCSWA
• Courtney Sanders
• Courtney Brown Sanders, LCSW
• Daphne Stewart Sanders, LCSW
• Dawn Sanders, LPCA

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, 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 May 7, 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.