Kelly Jo Vancelette, L.C.S.W.
NPI 1689622706ActiveIndividual· Social Worker, Clinical· Clayton, NC
Social Worker, Clinical (L.C.S.W.) in Clayton, North Carolina, trained at State University of New York at Buffalo School of Medicine (class of 1997). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1689622706 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L.C.S.W. |
| Sole proprietor | Yes |
| NPI issued | May 4, 2006 |
| Last updated in NPPES | May 6, 2026 |
| Certified by provider | May 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C003475 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NC) |
|---|
Education and affiliations
| Medical school | State University of New York at Buffalo School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Mindpath Care Centers North Carolina PLLCChapel Hill, NC · 116 clinicians
- WakemedCary, NC · 70 clinicians
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