Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL A KELLEY
Active Sole ProprietorCAROL A KELLEY is a Clinical Social Worker healthcare provider located in MOUNT JACKSON, Virginia. NPI 1508500505 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MOUNT JACKSON, VA
Registration Details
- NPI Number
- 1508500505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2022 (4.1259899209224 yrs)
- Last Updated
- Sep 28, 2025
- Licenses
-
089.0001179 (VT)0904010346 (VA)44SC06177000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5969 BROAD STMOUNT JACKSON, VA, 228429302Browse VA providers · Browse ZIP 22842
- Phone
- 8022365945
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.