Kelly Gordon-Wylie, LCSW-A
NPI 1528502564 · Clinical Social Worker · Wilmington, NC
Kelly Gordon-Wylie, LCSW-A is a Clinical Social Worker provider in Wilmington, NC (NPI 1528502564).
Provider details
- NPI number
- 1528502564
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW-A
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 309 Progress DrBurgaw, NC 28425-3280Phone: (910) 259-0668Fax: (910) 259-4526
Registry dates
- Enumerated
- 2016-12-09
- Last updated
- 2022-09-19
- Certified
- 2022-09-19
Frequently asked questions
- What is Kelly Gordon-Wylie's NPI number?
- Kelly Gordon-Wylie's National Provider Identifier (NPI) is 1528502564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Gordon-Wylie's specialty?
- Kelly Gordon-Wylie is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kelly Gordon-Wylie located?
- Kelly Gordon-Wylie's practice location on file with NPPES is 615 Shipyard Blvd, Wilmington, NC 28412-6431.
- What is Kelly Gordon-Wylie's phone number?
- The practice phone number listed in the NPPES registry for Kelly Gordon-Wylie is (910) 399-3755.
- Is Kelly Gordon-Wylie's NPI active?
- Yes — Kelly Gordon-Wylie's NPI (1528502564) is active in the NPPES registry as of the last update on 2022-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.