SHELBY LEE KELSO (NPI# 1043862097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043862097 |
| Entity Type | Individual |
| Full Name | SHELBY LEE KELSO |
| Credential | APSW, SAC-IT |
| Practice Address |
6314 Odana Rd Madison WI 53719-1129 |
| Practice Telephone | 6084342646 |
| Practice Fax Number | 4142462524 |
| Mailing Telephone | 6084342646 |
| Mailing Fax Number | 4142462524 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 131572 | Behavioral Health & Social Service Providers |
| Street Address |
6314 ODANA RD |
| City | MADISON |
| State | WI |
| Zip Code | 53719-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457527764 | Scott L Fenton | Psychologist | 6314 Odana Rd, Suite E, Madison, WI 53719-1129 | 2008-05-06 |
| 1972033256 | Jena Kathleen Schnabel | Case Manager/Care Coordinator | 6314 Odana Rd, Madison, WI 53719-1129 | 2017-06-19 |
| 1528432739 | Stacy L Killinger, Phd LLC | Psychologist | 6314 Odana Rd, E, Madison, WI 53719-1129 | 2015-11-25 |
| 1366830317 | Michele Stoffel-rosales | Social Worker | 6314 Odana Rd, Madison, WI 53719-1129 | 2014-12-29 |
| 1487060257 | Jordonna Hall | Counselor | 6314 Odana Rd, Suite 33, Madison, WI 53719-1129 | 2014-07-01 |
| 1003112608 | Carol Marie Rowley | Social Worker | 6314 Odana Rd, Madison, WI 53719-1129 | 2011-01-31 |
| 1811222151 | Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Counselor | 6314 Odana Rd, Madison, WI 53719-1129 | 2009-10-05 |
| 1417197583 | Tracy Lee Vanden Heuvel | Social Worker | 6314 Odana Rd, Madison, WI 53719-1129 | 2009-03-02 |
| 1801035977 | Bridget C. Ellingboe | Marriage & Family Therapist | 6314 Odana Rd, Lss of Wi & Upper Mi, Inc., Madison, WI 53719-1129 | 2009-02-13 |
| 1891940318 | Juan J. Guerrero | Counselor | 6314 Odana Rd, Madison, WI 53719-1129 | 2008-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043069 | Daniel Mccrary | Social Worker | 609 Quiet Creek Cir Nw, Madison, AL 35757-6354 | 2020-11-08 |
| 1104423342 | Papa Fall | Social Worker | 2021 Atwood Ave, Madison, WI 53704-5324 | 2020-10-01 |
| 1720692056 | Gabrielle Kaiser | Social Worker | 520 University Ave, Madison, WI 53703-4915 | 2020-09-03 |
| 1780297572 | Qyonna I. Grady | Social Worker | 106 Cotton Boll Dr Nw, Madison, AL 35757-6948 | 2020-08-31 |
| 1841801172 | Kayla Ruth Jischke | Social Worker | 266 Junction Rd Apt 27, Madison, WI 53717-2645 | 2020-08-11 |
| 1205452083 | Alisa Pratt | Social Worker | 607 W Due West Ave Ste 107, Madison, TN 37115-4420 | 2020-06-17 |
| 1336789288 | David Earl Bess | Social Worker | 8 Lynwood Pl, Madison, NJ 07940-1117 | 2020-01-08 |
| 1396396172 | Janeah Weaver | Social Worker | 255 N Main St Ste D, Madison, GA 30650-1390 | 2019-09-24 |
| 1205498961 | Kelsey Michele Huff | Social Worker | 1434 Florence Ave, Madison, TN 37115-2417 | 2019-07-02 |
| 1790345288 | Peter Edward Doria | Social Worker | 11 Woodland Rd Ste 2, Madison, CT 06443-2380 | 2019-06-17 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.