MEDICARE: KELSEY MCVEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	20884	MD
2	1041C0700X	Clinical Social Worker	C014885	NC

General Provider Information

NPI Number	:	1609596006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY MCVEY LCSW

Provider Business Mailing Address
First Line	:	107 ALFONSO LANE
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703
Country	:	US
Telephone Number	:	919-386-9615
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 ALFONSO LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8601
Country	:	US
Telephone Number	:	919-386-9615
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	02/02/2026

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