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

Individual provider Clinical Social Worker · NPI 1275269920

Kerron Harvey Elder, LCSW, LCAS is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
2
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

2101 Garner Rd
Raleigh, NC 27610-0114
Phone: (919) 787-6131
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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 C019324 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-28354 (NC)

Record details

NPI number1275269920
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LCAS
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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