Kelli Marie Byrd, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P006387 Issued in NC

Practice address

112 N Circle Dr Ste E
Rocky Mount, NC 27804-2429

Phone

(252) 937-3022

Fax

(252) 937-3021

NPI assigned

Aug 20, 2012

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

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1679821821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CIRCLE DR STE E",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042429",
            "telephone_number": "252-937-3022",
            "fax_number": "252-937-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CIRCLE DR STE E",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042429",
            "telephone_number": "252-937-3022",
            "fax_number": "252-937-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KELLI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Bullock Burnette, MA.ED, LPC, LCAS,CCS
• Elizabeth Dawn Burnette, FNP
• Kenya Chante Burton, LCSW-A
• Heather Butler, MEDCCC-SLP
• Moore Bynum
• Elia Xiomara Cabrera, PA-C
• Ana Leticia Calvio, NP-C
• Robyn Natalie Calvio
• Cambridge Behavioral Health Services
• Cambridge Behavioral Health Services

• Clinical Social Worker in Rocky Mount, NC
• Providers in Rocky Mount, 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 Aug 20, 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.