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

Kellie L Lane, LCSWA

Individual provider Clinical Social Worker · NPI 1639978885

Kellie L Lane, LCSWA is a Clinical Social Worker in Elizabeth City, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

711 Roanoke Ave
Elizabeth City, NC 27909-5643
Phone: (252) 338-4400
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 P021813 (NC)

Record details

NPI number1639978885
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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