KELSEY MANGAN (NPI# 1194215855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194215855 |
| Entity Type | Individual |
| Full Name | KELSEY MANGAN |
| Credential | LCSW |
| Practice Address |
3541 Randolph Rd Ste 206 Charlotte NC 28211-1082 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7043818336 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | C012935 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Carnegie Ave, Cleveland, OH 441152641 | 4402608300 |
| Street Address |
3541 RANDOLPH RD STE 206 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022344 | Carol Myrtle Green | Physical Therapist | 3541 Randolph Rd, Ste 100w, Charlotte, NC 28211-1082 | 2005-12-02 |
| 1134744428 | Elisa Shipley | Pharmacist | 3541 Randolph Rd, Charlotte, NC 28211-1082 | 2020-06-11 |
| 1598261703 | Christie Dehoff | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2018-04-05 |
| 1154771418 | Margaret Mcbride Hanna | Physical Therapist | 3541 Randolph Rd, Suite 100, Charlotte, NC 28211-1082 | 2016-06-17 |
| 1780039214 | Jessica Busick | Counselor | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2016-05-03 |
| 1164884821 | Centro Medico Latino, PC | Family Medicine | 3541 Randolph Rd, Ste 303, Charlotte, NC 28211-1082 | 2016-03-22 |
| 1659736239 | Samantha Doan | Nurse Practitioner | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2015-12-23 |
| 1073988838 | Mariane M. Franceschi Malucelli | Physical Therapist | 3541 Randolph Rd, Suite 100w, Charlotte, NC 28211-1082 | 2015-12-04 |
| 1699145722 | Heather Nelson | Nurse Practitioner | 3541 Randolph Rd, Ste 101, Charlotte, NC 28211-1082 | 2015-10-01 |
| 1770952111 | Katrina Dedona | Psychologist | 3541 Randolph Rd, Ste 206, Charlotte, NC 28211-1082 | 2015-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772942 | Sharelle Johnson | Social Worker | 5304 Firelight Ln Unit E, Charlotte, NC 28212-2277 | 2020-08-25 |
| 1902423924 | Jacob Wiltshire | Social Worker | 101 E Wt Harris Blvd Ste 5500, Charlotte, NC 28262-3485 | 2020-06-26 |
| 1730705294 | Armani Vance | Social Worker | 3016 Phillips Fairway Dr, Charlotte, NC 28216-6807 | 2020-06-22 |
| 1033734991 | Delia Sumter | Social Worker | 2113 Speedwell Court, Charlotte, NC 28213-4228 | 2020-06-16 |
| 1518598531 | Debra S Somervill Lmsw LLC | Social Worker | 1214 S Cochran Ave, Charlotte, MI 48813-2206 | 2020-01-29 |
| 1427691807 | Tracy Gibson | Social Worker | 14969 Santa Lucia Dr, Charlotte, NC 28277-3382 | 2019-10-18 |
| 1164079703 | Janelle Marie Spikes | Social Worker | 9727 Cayenne Dr, Charlotte, NC 28214-0105 | 2019-08-19 |
| 1295396695 | Tami Graven Dietz | Social Worker | 9719 Aragorn Ln Nw, Charlotte, NC 28269-6998 | 2019-06-26 |
| 1952967457 | Keyana Moore | Social Worker | 12419 Old Timber Rd, Charlotte, NC 28269-8709 | 2019-05-10 |
| 1467919373 | Miranda Gail Fetherson | Social Worker | 514 Frank Dr, Charlotte, NC 28215-2113 | 2019-02-27 |
| Find all providers in CHARLOTTE | ||||
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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.