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

Kelly Marie Wasson, LCSW

Individual provider Clinical Social Worker · NPI 1063921161

Kelly Marie Wasson, LCSW is a Clinical Social Worker in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2101 Peters Creek Pkwy Ste 16-19
Winston Salem, NC 27127-3726
Phone: (336) 955-1379
Fax: (704) 939-1173
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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 C012739 (NC)

Record details

NPI number1063921161
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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