Kendal Kae Blackwelder Gulledge, LCSW, LCAS is a
Social Worker - Clinical based in Denver, North Carolina. Kendal Kae Blackwelder Gulledge is licensed to practice in * (Not Available) (license number ) and her current practice location is
2485 N Nc 16 Business Hwy Ste 100, Denver, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 657-4665.
NPI number for Kendal Kae Blackwelder Gulledge is 1447655634 and her current mailing address is 2634 Andrew Point Dr, Denver, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447655634.
Healthcare Provider's Profile
| Full Name | Kendal Kae Blackwelder Gulledge |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 2485 N Nc 16 Business Hwy Ste 100, Denver, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447655634
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 03/05/2025
Medical Identifiers
Medical identifiers for Kendal Kae Blackwelder Gulledge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447655634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-21179 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010491 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendal Kae Blackwelder Gulledge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kendal Kae Blackwelder Gulledge, LCSW, LCAS
2634 Andrew Point Dr,
Denver, NC 28037-5455
Ph: (704) 657-4665 | Kendal Kae Blackwelder Gulledge, LCSW, LCAS
2485 N Nc 16 Business Hwy Ste 100,
Denver, NC 28037-8256
Ph: (704) 657-4665 |
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