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

Individual provider Clinical Social Worker · NPI 1972230753

Kelly Dejesus, LCSWA is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

2409 Crabtree Blvd
Raleigh, NC 27604-4544
Phone: (919) 355-9145
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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 C019237 (NC)

Record details

NPI number1972230753
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWA
Sole proprietorYes
NPI enumeratedAugust 2, 2022
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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