Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Elizabeth Mailler, LCAS-A

Individual provider Clinical Social Worker · NPI 1790975514

Kelly Elizabeth Mailler, LCAS-A is a Clinical Social Worker in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

515 Clanton Rd
Charlotte, NC 28217-1309
Phone: (704) 332-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-25966 (NC)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1790975514
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedJuly 27, 2007
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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