KELLY MARIE WASSON (NPI# 1063921161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063921161 |
| Entity Type | Individual |
| Full Name | KELLY MARIE WASSON |
| Credential | LCSW |
| Practice Address |
2129 Statesville Blvd Salisbury NC 28147-1411 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 7046333616 |
| Practice Fax Number | 7046335902 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P0011677 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2129 STATESVILLE BLVD |
| City | SALISBURY |
| State | NC |
| Zip Code | 28147-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801818927 | Amruthavalli Muthu | Psychiatry & Neurology | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2006-07-25 |
| 1336780576 | Cabarrus Rowan Community Health Centers, Inc. | Family Medicine | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2019-09-30 |
| 1871153197 | Jessica Chenille Lazenby | Social Worker | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2019-06-18 |
| 1750948600 | Rachel Anne Harris | Social Worker | 2129 Statesville Blvd, Salisbury, NC 28147 | 2019-05-28 |
| 1891359196 | Symfonie Mitchell | Counselor | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2019-04-23 |
| 1326504853 | Christopher Foote | Social Worker | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2019-02-20 |
| 1841756327 | Mcdermott Wilton Connor | Counselor | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2019-02-20 |
| 1255812277 | Gabrielle Lynise Mitchell | Social Worker | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2018-08-27 |
| 1962997981 | Elizabeth Rose Easter | Social Worker | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2018-06-22 |
| 1770095689 | Caitlyn Victoria Yesavage | Social Worker | 2129 Statesville Blvd, Salisbury, NC 28147-1411 | 2017-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700397908 | The Young Men's Christian Association of Rowan County, N.c., Inc. | Health Educator | 828 Jake Alexander Blvd., West, Salisbury, NC 28147 | 2017-10-16 |
| 1417490202 | Angels At Heart Assisted Living | PACE Provider Organization | 140 Kent Road, Salisbury, NC 28147 | 2016-11-28 |
| 1780047316 | Lugina Dumas | Counselor | 1100 Litaker Farm Road, Salisbury, NC 28147 | 2016-03-31 |
| 1689054777 | Travis Howell | Occupational Therapist | 548 White Oak Drive, Apt 310, Salisbury, NC 28147 | 2015-06-03 |
| 1790115384 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1361 Klumac Road, Salisbury, NC 28147 | 2013-11-18 |
| 1336499409 | Ashley Elizabeth Jones | Speech-Language Pathologist | 701julian Road, Salisbury, NC 28147 | 2012-09-14 |
| 1730489360 | Shepherd's Home Care | Home Health | 1953 W Jake Alexander Blvd, 2, Salisbury, NC 28147 | 2010-10-29 |
| 1346369006 | Denise Murphy | Occupational Therapist | 548 White Oaks Dr, Salisbury, NC 28147 | 2007-03-27 |
| 1205992203 | Robert N Whitaker Jr Md Pa | Otolaryngology | 330 Jake Alexander Blvd West Suite 101, Salisbury, NC 28147 | 2006-12-28 |
| 1720174162 | Michael Steven Binder | Chiropractor | 2124 Statesville Blvd, Salisbury, NC 28147 | 2006-10-05 |
| Find all providers in zip 28147 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585726 | Kala Farrare | Social Worker | 28205 Rockawalkin Ridge Rd, Salisbury, MD 21801-2107 | 2020-07-15 |
| 1972134328 | Lisa C Barnes | Social Worker | 5910 Tappan Ln, Salisbury, MD 21801-1604 | 2020-02-03 |
| 1881225167 | Innovative State of Mind LLC | Social Worker | 116 Baptist St, Salisbury, MD 21801-4911 | 2020-01-27 |
| 1518598853 | Harmony Counseling Services LLC | Social Worker | 1201 Pemberton Dr Ste 1d, Salisbury, MD 21801-2401 | 2020-01-27 |
| 1952947103 | Greater Glory Community Center | Social Worker | 1015 Old West Innes St, Salisbury, NC 28144-3171 | 2019-11-22 |
| 1528625266 | Paulina Sandra Rivera | Social Worker | 165 Mahaley Ave, Salisbury, NC 28144-2448 | 2019-05-28 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1689159931 | Donna Elaine Johnson | Social Worker | 9 2nd St, Salisbury, MA 01952-2524 | 2018-10-02 |
| 1962980524 | Jill J Tapper | Social Worker | 135 Beach Rd Unit A1, Salisbury, MA 01952-2253 | 2018-08-05 |
| 1164927448 | Edwana Cottman | Social Worker | 100 E Carroll St # 101102, Salisbury, MD 21801-5422 | 2018-03-28 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.