Provider Demographics
NPI:1184376865
Name:DULANY, KAILEE (LCSW)
Entity type:Individual
Prefix:
First Name:KAILEE
Middle Name:
Last Name:DULANY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 CONCORD PKWY S STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-2705
Mailing Address - Country:US
Mailing Address - Phone:980-209-6328
Mailing Address - Fax:704-787-8085
Practice Address - Street 1:280 CONCORD PKWY S STE 100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-2705
Practice Address - Country:US
Practice Address - Phone:980-209-6328
Practice Address - Fax:704-787-8085
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-24
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0183431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical