KELLY LACHELLE SMITH (NPI# 1831490903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831490903 |
| Entity Type | Individual |
| Full Name | KELLY LACHELLE SMITH |
| Practice Address |
2721 X Ray Dr Gastonia NC 28054-7491 |
| Mailing Address |
200 E 2nd Ave Gastonia NC 28052-4358 |
| Practice Telephone | 7048743316 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2018-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
PO11783 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2708 Ne 14th St, 5, Pompano Beach, FL 330623565 | 9546037885 | 9543420273 |
| 3052 Iredell Dr, Charlotte, NC 282692714 | (980) 395-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1447877899 | Kelly Smith | Dental Hygienist | 7700 Sw Garden Home Rd Apt 24, Portland, OR 97223-7496 | 2020-07-01 |
| 1346720893 | Kelly Smith | Licensed Vocational Nurse | 512 S Kearny, Clarendon, TX 79226 | 2018-08-15 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1013437870 | Kelly Dennis Smith | Public Health or Welfare | 211 Oakmont Dr, New Orleans, LA 70128-3624 | 2017-06-22 |
| 1164955498 | Kelly Ghislaine Smith | Student in an Organized Health Care Education/Training Program | 171 Old Chester Rd, Essex Fells, NJ 07021-1624 | 2017-04-04 |
| 1588026975 | Kelly Therese Smith | Specialist/Technologist | 344 S Maple Ave #2a, Oak Park, IL 60302 | 2016-03-24 |
| 1790168326 | Kelly Smith | Counselor | 545 Sw 26th St, Oklahoma City, OK 73109-6740 | 2015-07-01 |
| 1518353341 | Kelly Smith | Nurse Practitioner | 2232 Wilborn Ave Ste D, South Boston, VA 24592-1662 | 2015-04-08 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| Street Address |
2721 X RAY DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619057452 | Christina Zanakis-reid | Pediatrics | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2006-10-16 |
| 1972111946 | Jennifer Riebesell | Social Worker | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2020-07-16 |
| 1477079283 | Gaston Family Health Services Inc | Pharmacy | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2017-08-15 |
| 1225408461 | Jackson Davis Mullins | Nurse Practitioner | 2721 X Ray Dr, Gastonia, NC 28054 | 2015-09-30 |
| 1306284351 | Vaidehi Mahesh Trivedi | Internal Medicine | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2013-06-12 |
| 1518204742 | Tammy Virginia Shingleton | Counselor | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2013-01-08 |
| 1770891210 | David A Robison | Nurse Practitioner | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2010-09-17 |
| 1396051884 | Elite Community Health, LLC | Case Management | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2010-08-23 |
| 1205908282 | Shannon Reed Blumhardt | Chiropractor | 2721 X Ray Dr, Gastonia, NC 28054-7491 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1255822219 | Jenna Webber | Social Worker | 2550 Court Dr Ste 103, Gastonia, NC 28054-2152 | 2018-05-25 |
| 1033618723 | Leigh Anne Margaret Jackson | Social Worker | 603 Cox Rd Ste C, Gastonia, NC 28054-3432 | 2018-02-07 |
| 1134667173 | Terri Smalls | Social Worker | 1558-b Union Road, Gastonia, NC 28269-4075 | 2017-02-10 |
| 1518357672 | Frank Ingram | Social Worker | 190 E Franklin Blvd, Gastonia, NC 28052-4105 | 2015-01-28 |
| 1295132090 | Justin D. Feasel, Msw, Lcsw, Pllc | Social Worker | 1554 Union Rd, C, Gastonia, NC 28054-5581 | 2014-11-24 |
| 1689914962 | Jason Drew Anderson | Social Worker | 2505 Court Dr # B, Gastonia, NC 28054-2140 | 2013-02-22 |
| 1972840932 | Cydcherease Mcdaniel | Social Worker | 603 Cox Rd Ste B, Gastonia, NC 28054-3432 | 2013-01-10 |
| 1992056956 | David Kneen | Social Worker | 319 S Oakland St, Gastonia, NC 28052-4310 | 2012-09-30 |
| 1902154552 | Laura Armstrong | Social Worker | 708 S Chestnut Street, Gastonia, NC 28054-4548 | 2012-08-29 |
| 1154678225 | James Terrell Freeman | Social Worker | 2943 Audrey Dr, Gastonia, NC 28054-7269 | 2012-08-08 |
| Find all providers in GASTONIA | ||||
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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.