KELLY ANN WILLIS (NPI# 1083123392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083123392 |
| Entity Type | Individual |
| Full Name | KELLY ANN WILLIS |
| Credential | LSW, MSW |
| Practice Address |
301 Skyway Dr Fort Collins CO 80525-3911 |
| Mailing Address |
4856 Innovation Dr Ste B Fort Collins CO 80525-5540 |
| Practice Telephone | 9704944200 |
| Mailing Telephone | 9704944200 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW.0009922172 | CO | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 44SL06300000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528528460 | Kelly Mason Willis | Counselor | 1960 Thompson Dr, Sedro Woolley, WA 98284-5007 | 2019-03-25 |
| 1154553386 | Kelly Willis | Social Worker | 701 W Pratt St, 4th Floor, Baltimore, MD 21201-1023 | 2009-08-21 |
| Street Address |
301 SKYWAY DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205996196 | Lyndsey Stulp | Case Manager/Care Coordinator | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2006-12-11 |
| 1780214312 | Foothills Gateway, Inc. | Case Management | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2020-01-23 |
| 1225680523 | Carley Remington Mcclure | Counselor | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2019-07-16 |
| 1013424845 | Summitstone Health Partners | Clinic/Center | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2018-01-02 |
| 1336674332 | Robyn Payne | Counselor | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2017-04-27 |
| 1932589397 | Kimberly Rose Garcia | Speech-Language Pathologist | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2015-06-01 |
| 1659707321 | Joe M Kolanda | Counselor | 301 Skyway Dr, Fort Collins, CO 80525 | 2013-09-25 |
| 1326314451 | Fawn Lee Corbin | Counselor | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2012-03-22 |
| 1467725994 | Foothills Gateway Inc | Community Health Worker | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2012-02-14 |
| 1518260082 | Foothills Gateway Inc | Day Training, Developmentally Disabled Services | 301 Skyway Dr, Fort Collins, CO 80525-3911 | 2010-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1730722174 | Tricia Fadness | Social Worker | 706 S College Ave Ste 201, Fort Collins, CO 80524-9860 | 2019-10-17 |
| 1265097034 | Jessica Sandra Morneault | Social Worker | 503 Remington St Ste 201, Fort Collins, CO 80524-3089 | 2019-05-07 |
| 1063966562 | Catherine Hill | Social Worker | 4545 Wheaton Dr Unit F150, Fort Collins, CO 80525-7418 | 2016-08-12 |
| 1245637958 | Gregory Earl Ketchum | Social Worker | 806 Rumford Court, Fort Collins, CO 80525 | 2014-11-24 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255684692 | Kathleen Gladys Mckinney | Social Worker | 5131 S College Ave, Fort Collins, CO 80525-3968 | 2012-10-23 |
| 1376894303 | Cheryl Lynn Weill | Social Worker | 2169 Dolan St, Fort Collins, CO 80528-7092 | 2012-10-01 |
| 1336423110 | Tommilou Robinson Davis | Social Worker | 4103 Boardwalk Drive, Suite 202, Fort Collins, CO 80525-9899 | 2011-09-28 |
| 1588831044 | Sexual Assault Victim Advocacy Center | Social Worker | 4812 S College Ave, Fort Collins, CO 80525-3723 | 2008-05-14 |
| 1780879429 | Chelsea Wilson | Social Worker | 331 S Meldrum St, Fort Collins, CO 80521-2602 | 2007-09-06 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.