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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1265084800

Crystal Dianne Kellam, MSW is a Clinical Social Worker in Greenville, North Carolina. Qualified in 2018, 8 years ago. Practices with Roanoke Valley Health Services Inc, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

525 Moye Blvd
Greenville, NC 27834-2849
Phone: (252) 744-1406
Fax: (252) 744-4270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C013218 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24703 (NC)

Record details

NPI number1265084800
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJuly 14, 2019
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Roanoke Valley Health Services Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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