KELLEY JEAN WILLIG


Address: 735 North Dr, Hopkinsville, KY 42240-2620
Phone: 2708865163

KELLEY JEAN WILLIG (NPI# 1083157028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083157028
Entity Type Individual
Full Name KELLEY JEAN WILLIG
Other Name KELLEY-JEAN M. WILLIG
Practice Address 735 North Dr
Hopkinsville
KY 42240-2620
Mailing Address Po Box 614
Hopkinsville
KY 42241-0614
Practice Telephone 2708865163
Practice Fax Number 2708865178
Mailing Telephone 2708862205
Mailing Fax Number 2708860392
Enumeration Date 2016-11-23
Last Update Date 2019-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
254061 KY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1350 Us Highway 62 W, Princeton, KY 424456106 2703652008 2703652009

Office Location

Street Address 735 NORTH DR
City HOPKINSVILLE
State KY
Zip Code 42240-2620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457335903 Susan Renee Vaught Clinical Neuropsychologist 735 North Dr, Hopkinsville, KY 42240-2620 2005-11-29
1801493143 Ashley Mesha Mckee Case Manager/Care Coordinator 735 North Dr, Hopkinsville, KY 42240-2620 2020-10-08
1427663095 Travis Wade Flener Case Manager/Care Coordinator 735 North Dr, Hopkinsville, KY 42240-2620 2020-09-10
1457986093 Brenden Murphy Social Worker 735 North Dr, Hopkinsville, KY 42240-2620 2020-03-04
1710519590 Jenae Bailey Case Manager/Care Coordinator 735 North Dr, Hopkinsville, KY 42240-2620 2020-02-10
1700421328 Dustin Ryan Clark Case Manager/Care Coordinator 735 North Dr, Hopkinsville, KY 42240-2620 2019-11-07
1508415324 Ashlie Deserai Staples Counselor 735 North Dr, Hopkinsville, KY 42240-2620 2019-09-04
1528616927 Sarah Elaine Watts Counselor 735 North Dr, Hopkinsville, KY 42240 2019-08-28
1003461013 Rebecca Girlinghouse Student in an Organized Health Care Education/Training Program 735 North Dr, Hopkinsville, KY 42240-2620 2019-08-06
1356995781 Pennyroyal Regional Mental Health-mental Retardation Board Inc Community/Behavioral Health 735 North Dr, Hopkinsville, KY 42240-2620 2019-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689214264 Joshua Brian Yates Pharmacist 320 West 18th Street, Hopkinsville, KY 42240 2020-01-10
1629540950 John J Tomasic Nurse Practitioner Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 2018-12-27
1669962866 Jeri Lynn Richardson Developmental Therapist 119 Forbes Dr, Hopkinsville, KY 42240 2018-05-14
1619416039 Esther Caro Case Manager/Care Coordinator 400a Hammond Plz, Hopkinsville, KY 42240 2017-02-17
1780126532 Jennifer R. Koranyi Social Worker 737b North Dr, Hopkinsville, KY 42240 2016-11-10
1043760937 Inspira Therapy Speech-Language Pathologist 1110 South Main Street, Suite B, Hopkinsville, KY 42240 2016-10-04
1689026049 Judy Greene Dba Greene Physical Therapy Services Physical Therapist 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 2016-07-11
1083094932 Cornell Memory Center Clinic/Center 101 North Drive, Hopkinsville, KY 42240 2015-06-05
1679978746 Maulik V Patel Pharmacist 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 2014-10-30
1245630896 Haregewoin Ezezew Baye Dentist 300 Cool Water Ct, Hopkinsville, KY 42240 2014-09-02
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295223790 Stacy Ezell Jones Social Worker 517 N Elm St, Hopkinsville, KY 42240-2416 2018-04-30
1780126532 Jennifer R. Koranyi Social Worker 737b North Dr, Hopkinsville, KY 42240 2016-11-10
1265836456 Elizabeth Ruth Jones Social Worker 2400 Russelville Rd, Genesis East, Hopkinsville, KY 42240-8095 2014-10-16
1376824672 Tina L Tomlinson Social Worker 905 North Dr, Hopkinsville, KY 42240-2624 2011-08-31
1033382734 Rebecca A Barron Social Worker 2122 S Main St, Hopkinsville, KY 42240-1758 2008-04-02
1508995549 Mary Fran Davis Social Worker 1715 S Virginia St, Suite B, Hopkinsville, KY 42240-3605 2007-03-05
1508949793 Ashley Felts Boze Social Worker 737b North Drive, Hopkinsville, KY 42240-2620 2006-10-23
1619059243 Cynthia Starling Social Worker 1910 S Virginia St Ste 208, Hopkinsville, KY 42240-6009 2006-10-20
1720054513 Marda L. Godsey Social Worker 310 Ginnie Ln, Hopkinsville, KY 42240-4724 2006-02-23
1992770721 Paula Bernice Hudson Social Worker 2675 Greenville Road, Hopkinsville, KY 42241-4074 2006-02-23
Find all providers in HOPKINSVILLE

Competitor

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City HOPKINSVILLE
Zip Code 42240

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Dataset Information

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.

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