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

Mr. Kelly Jay Poole, LCSW

Individual provider Clinical Social Worker · NPI 1760419725

Mr. Kelly Jay Poole, LCSW is a Clinical Social Worker in Randleman, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

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

4270 Heath Dairy Rd
Randleman, NC 27317-7489
Phone: (336) 495-2700
Fax: (336) 495-5552
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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 C001120 (NC)

Record details

NPI number1760419725
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESJuly 8, 2007

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