Kristen Sealey, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014657 Issued in NC

Practice address

10130 Mallard Creek Rd Ste 335
Charlotte, NC 28262-6000

Phone

(980) 202-1344

Fax

(980) 447-5611

NPI assigned

Sep 29, 2018

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Receiving Serenity, PLLC

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1740938067
  NPD (past) Authorized official
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Zebulon, NC
  • NPI 1912345380
  NPD

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1942785589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 MALLARD CREEK RD STE 335",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626000",
            "telephone_number": "980-202-1344",
            "fax_number": "980-447-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 MALLARD CREEK RD STE 335",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626000",
            "telephone_number": "980-202-1344",
            "fax_number": "980-447-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALEY",
        "first_name": "KRISTEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012935",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Serwah Scurry
• Christina Seaborg, AUD
• Khalida D Seabury
• Tabitha Seade
• Kris Katherine Seagle
• Vanessa Wendy Sealey
• Bethany Sealy, PT, DPT, CLT
• Trevor W Seaman
• Tiffany Sue Searle, PA-C
• Alisha Marie Searles, PA

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, 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 Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.