KELCEY RAYE NICHOLS (NPI# 1255810917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255810917 |
| Entity Type | Individual |
| Full Name | KELCEY RAYE NICHOLS |
| Credential | LCSWA |
| Practice Address |
810 Tyvola Rd Ste 126 Charlotte NC 28217-3536 |
| Practice Telephone | 7045663410 |
| Mailing Telephone | 7045663410 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | P012842 | NC | Behavioral Health & Social Service Providers |
| Street Address |
810 TYVOLA RD STE 126 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28217-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336655935 | Matthew Brandon Smead | Counselor | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2017-12-18 |
| 1790329886 | Ashley Rose Creft | Social Worker | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2019-10-31 |
| 1790339711 | Jasmine Shamese Warren | Social Worker | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2019-07-29 |
| 1194386243 | Allison Roe | Social Worker | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2019-06-27 |
| 1043780992 | Hannah Leigh Fraser | Social Worker | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2018-12-04 |
| 1235607896 | Nilda Delgado | Social Worker | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2018-11-12 |
| 1962993113 | Loriann Devito | Counselor | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2018-05-23 |
| 1700392339 | Catherine Dara Bailey | Counselor | 810 Tyvola Rd Ste 126, Charlotte, NC 28217-3536 | 2017-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962017798 | Kelby Rae Hurlocker | Specialist/Technologist | 500 Center Park Dr, Charlotte, NC 28217 | 2020-09-09 |
| 1356967749 | Optum Pharmacy 701, LLC | Pharmacy | 4015 Shopton Rd, Suite 600, Charlotte, NC 28217 | 2020-06-22 |
| 1598302937 | Brigit Boyce | Occupational Therapist | 8848 Red Oak Blvd, Ste Aa, Charlotte, NC 28217 | 2019-12-04 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1184102048 | Charday Caple | Counselor | 735 Echodale Dr, Charlotte, NC 28217 | 2018-08-02 |
| 1326532250 | Dupont Livery LLC | Non-emergency Medical Transport (VAN) | 4200 S Tryon St, Charlotte, NC 28217 | 2018-06-14 |
| 1891215232 | Lakesha Shamise Welch | Counselor | 5709 South Hampton R., Charlotte, NC 28217 | 2017-06-27 |
| 1245768282 | Allison Harris Lafone | Counselor | 515 Clanton Road, Charlotte, NC 28217 | 2017-06-02 |
| 1619416906 | Charlie Randolph Taylor Jr. | Counselor | 517 Clanton Road, Charlotte, NC 28217 | 2017-02-20 |
| Find all providers in zip 28217 | ||||
| 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.