Provider Demographics
NPI:1346139680
Name:FLEAGLE, KALI (MSW, LCSWA)
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:FLEAGLE
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:NEWLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28657-8096
Mailing Address - Country:US
Mailing Address - Phone:828-737-7071
Mailing Address - Fax:
Practice Address - Street 1:434 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:NEWLAND
Practice Address - State:NC
Practice Address - Zip Code:28657-8096
Practice Address - Country:US
Practice Address - Phone:828-737-7071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0223771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical