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

Kelli Michelle Jordan, LCSW-A, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811886195

Kelli Michelle Jordan, LCSW-A, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1001 Reynolda Rd
Winston Salem, NC 27104-3245
Phone: (336) 721-7600
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 P022809 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 30985 (NC)

Record details

NPI number1811886195
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-A , LCAS-A
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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