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

Kendal Kae Blackwelder Gulledge, LCSW, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447655634

Kendal Kae Blackwelder Gulledge, LCSW, LCAS is a Clinical Social Worker in Denver, North Carolina. Qualified in 2014, 12 years ago. Practices with Jw Counseling, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Licensed in
NC
In the registry since
2014
Specialties on file
3
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

2485 N Nc 16 Business Hwy Ste 100
Denver, NC 28037-8256
Phone: (704) 657-4665
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-21179 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence C010491 (NC)

Record details

NPI number1447655634
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LCAS
Sole proprietorYes
NPI enumeratedOctober 30, 2014
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jw Counseling, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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