Individual provider Active NPI

Kenzie Delrae Elmore, LCSW

  • Clinical Social Worker
  • Denver, NC
National Provider Identifier
1891109740
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010315 Issued in NC
Practice address
2485 N NC 16 Business Hwy Ste 100
Denver, NC 28037-8256
Phone
(980) 268-6311
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P008811 NC
Clinical Social Worker 1041C0700X C010315 NC Primary

Addresses

Primary practice location

2485 N NC 16 Business Hwy Ste 100
Denver, NC 28037-8256

Mailing address

2485 N NC 16 Business Hwy Ste 100
Denver, NC 28037-8256
Phone (980) 268-6311

Other practice location 1

600 W Main St
Maiden, NC 28650-1146
Phone (828) 428-8197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130000784 NC Practitioner - Clinical Social Worker 1052747672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JW Counseling, PLLCGroup PAC ID 7810336096, 3 clinicians

Practice addresses (Care Compare)

2485 N NC 16 Business Hwy
Suite 100
Denver, NC 28037-8256
Phone (704) 530-8341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C010315NCMDClinical Social Worker
P008811NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc CurrentSince Mar 7, 2023 Accepting new patients
Monarch CurrentSince Nov 5, 2019 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Mar 7, 2023 Accepting new patients
Monarch Current Accepting new patients
JW Counseling PLLC Clinical CurrentSince Apr 18, 2025 Accepting new patients
Monarch CurrentSince Nov 5, 2019 Accepting new patients
Piedmont Family Services Clinical PastSince Jul 1, 2013 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

2485 N NC 16 Business Hwy
Ste 100
Denver, NC 28037
Phone (704) 530-8341

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

600 W Main St
Maiden, NC 28650
Phone (828) 428-8197

201 W Marion St
Ste 100
Shelby, NC 28150
Phone (704) 476-4027

Interoperability endpoints

  • Direct secure messaging: kelmore353584@direct.ochin.org

Organizations & group practices 8

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": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1891109740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 N NC 16 BUSINESS HWY STE 100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378256",
            "telephone_number": "980-268-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 N NC 16 BUSINESS HWY STE 100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378256",
            "telephone_number": "980-268-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Main St",
            "address_purpose": "LOCATION",
            "city": "Maiden",
            "state": "NC",
            "postal_code": "286501146",
            "country_code": "US",
            "telephone_number": "828-428-8197",
            "fax_number": "828-428-8341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "KENZIE",
        "middle_name": "DELRAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008811",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.