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

Individual provider Clinical Social Worker · NPI 1073534384

Kelly L Kellerman, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Qualified in 1993, 33 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
33
Licensed in
NC
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5700 Executive Center Dr Ste 110
Charlotte, NC 28212-8858
Phone: (704) 525-3255
Fax: (704) 525-0949
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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 C002690 (NC)

Record details

NPI number1073534384
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESMarch 13, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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