Kelly L. Kellerman, LCSW
Clinical Social Worker · Charlotte, NC
Kelly L. Kellerman, LCSW is a clinical social worker with a practice address in Charlotte, North Carolina, and NPI 1073534384, issued on Jul 21, 2006. Check the license (North Carolina C002690, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly L. Kellerman
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- C002690 NC
Self-reported in NPPES; status is on the state search - Practice location
- 5700 Executive Center Dr, Charlotte, NC 28212
- Phone
- (704) 525-3255
- Enumerated
- Jul 21, 2006
- Record last updated
- Mar 13, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (704) 525-0949
- Medicare enrollment
- Enrolled (PECOS I20181024001629); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 15,561 in North Carolina → Look up another NPI →
Also registered at 5700 Executive Center Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Erin Campbell, OTRLOccupational Therapist1124064217
- Alicia Davis, LCSWClinical Social Worker1396048534
- Shannon Gilbert, LPC, MAMental Health Counselor1649512278
- Gloria Graham, OTRPediatric Occupational Therapist1639202187
Verify Kelly L. Kellerman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license C002690Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Thrive Counseling LLCRoyal Oak, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly L. Kellerman among 15,561 clinical social worker records in North Carolina
Kelly L. Kellerman, LCSW is one of 15,561 clinical social worker records with a practice address in North Carolina. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 91% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 14% of these records are
- Graduated1993 · median 2013 among the 2,138 with a school on file
- Record last updated2017 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,725 clinical social worker records list a practice address in Charlotte
They are 1,725 of the 23,603 NPPES records with a practice address in Charlotte, and 15,561 clinical social worker records in North Carolina.
All 15,561 in North Carolina → Every provider in Charlotte → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Alicia Davis, LCSWCharlotte, NC 282121396048534
- Wigsaury FernandezCharlotte, NC 282121043618804
- Cherish Fields, LCSWACharlotte, NC 282121326313347
- Jamese Grant, MSW, LCSW-ACharlotte, NC 282121467860361
- Tina Green, LCSW-ACharlotte, NC 282121255730826
- Georgianna Lazarus, MSW, LCSWCharlotte, NC 282121740557370
- Krystal Mangandi, LCSWCharlotte, NC 282121417201989
- Shatara MarshallCharlotte, NC 282121366792053
Common questions
What is Kelly L. Kellerman, LCSW's NPI number?
Kelly L. Kellerman, LCSW's National Provider Identifier (NPI) is 1073534384, issued on Jul 21, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kelly L. Kellerman, LCSW located?
The NPPES record lists a practice address at 5700 Executive Center Dr, Charlotte, NC, 28212. Phone: (704) 525-3255. Providers update this record themselves, so call before visiting.
How can I verify Kelly L. Kellerman, LCSW's license?
NPPES lists North Carolina license number C002690, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.