Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol A Kelley

Individual provider Clinical Social Worker · NPI 1508500505

Carol A Kelley is a Clinical Social Worker in Mount Jackson, Virginia. Practices as a sole proprietor. Licensed in New Jersey, Virginia and Vermont.

Licensed in
NJ, VA, VT
In the registry since
2022
Specialties on file
3

Practice location Address checks out

5969 Broad St
Mount Jackson, VA 22842-9302
Phone: (802) 236-5945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904010346 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 089.0001179 (VT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 44SC06177000 (NJ)

Record details

NPI number1508500505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 25, 2022
Last updated in NPPESSeptember 28, 2025
Certification dateSeptember 28, 2025
Mailing address5969 Broad St, Mount Jackson, VA 22842-9302