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Crystal Dianne Kellam, MSW
Clinical Social Worker in Greenville, North Carolina
NPI 1265084800

Crystal Dianne Kellam is a Clinical Social Worker based in Charlotte, NC and is specialized in Clinical. Crystal Dianne Kellam practices in Greenville, NC and has the professional credentials of MSW. The NPI Number for Crystal Dianne Kellam is 1265084800 and holds a License No. 24703 (North Carolina).

The current practice location address for Crystal Dianne Kellam is 905 Johns Hopkins Dr, Greenville, NC and can be reached out via phone at 252-744-1406 and via fax at 252-744-4270.

Location: 905 Johns Hopkins Dr, Greenville, NC, 28275-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265084800
Provider Name
Crystal Dianne Kellam
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
905 Johns Hopkins Dr, Greenville, NC, 28275-1069
Phone Number
252-744-1406
Fax Number
252-744-4270
Provider Enumeration Date
07/14/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
905 Johns Hopkins Dr
City
Greenville
State
North Carolina
Zip
27834-2056
Phone Number
252-744-1406
Fax Number
252-744-4270
person
Provider Business Mailing Address Details
Address
905 Johns Hopkins Dr
City
Greenville
State
North Carolina
Zip
27834-2056
Phone Number
252-744-1406
Fax Number
252-744-4270
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C013218 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
24703 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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