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

Kelly Justin Busher, LCSWA, PSS, QP

Individual provider Clinical Social Worker · NPI 1699483867

Kelly Justin Busher, LCSWA, PSS, QP is a Clinical Social Worker in Mount Holly, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022

Practice location Address checks out

127 S Main St Ste H
Mount Holly, NC 28120-1618
Phone: (704) 759-6525
Fax: (704) 601-3470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 S Clay St, Lowell, NC 28098-1811 — (704) 778-2201

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P018114 (NC)

Record details

NPI number1699483867
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWA , PSS , QP
Sole proprietorYes
NPI enumeratedNovember 7, 2022
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

Other providers in Mount Holly