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

Mrs. Kelly Jo Vancelette, LCSW

Individual provider Clinical Social Worker · NPI 1689622706

Mrs. Kelly Jo Vancelette, LCSW is a Clinical Social Worker in Clayton, North Carolina. Graduated from State University of New York at Buffalo School of Medicine in 1997, 29 years ago. Practices with Wakemed, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
29
Trained at
State University of New York at Buffalo School of Medicine
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

2076 Veterans Pkwy Ste 220
Clayton, NC 27520-5303
Phone: (855) 501-1004
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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 C003475 (NC)

Record details

NPI number1689622706
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 4, 2006
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Wakemed — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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