Individual provider Active NPI

Jeanelle Kline, LCSW

  • Clinical Social Worker
  • Columbia, SC
National Provider Identifier
1801435243
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.030591 Issued in IL
Practice address
112 Fifeshire Dr
Columbia, SC 29212-1906
Phone
(817) 437-8891
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.030591 IL Primary

Addresses

Primary practice location

112 Fifeshire Dr
Columbia, SC 29212-1906

Mailing address

611 S Dupont Hwy Ste 102
Dover, DE 19901-4507
Phone (803) 973-0313

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeanelle.kline@condorwellness.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.030591ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Condor Life and Wellness Services, LLC Mental Health CurrentSince Jan 4, 2026 Accepting new patients
Allone Health Well LLC Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1801435243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S DUPONT HWY STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199014507",
            "telephone_number": "803-973-0313",
            "fax_number": "803-395-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FIFESHIRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121906",
            "telephone_number": "817-437-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "JEANELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.030591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeanelle.kline@condorwellness.com",
            "affiliation": "N",
            "endpointDescription": "jeanelle.kline@condorwellness.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "112 Fifeshire Dr",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.