MRS. HEATHER LYNNE KELLAM (NPI# 1124197405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124197405 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER LYNNE KELLAM |
| Credential | LCSWC |
| Practice Address |
2336 Goddard Parkway Salisbury MD 21801 |
| Mailing Address |
2336 Goddard Pkwy Salisbury MD 21801-1126 |
| Practice Telephone | 4103346961 |
| Practice Fax Number | 4103346362 |
| Mailing Telephone | 4103346961 |
| Mailing Fax Number | 4103346960 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
13217 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS GROUP | LM49EA | 01 |
| MD | AMERICAN PSYCH SYSTEM | 522156095 | 01 |
| MD | NCPPO | 522156095 | 01 |
| MD | CAREFIRST BCBS-FED-PIN | 0035 | 01 |
| UHC MAMSI GROUP | 517251 | 01 | |
| CAREFIRST FEDERAL GROUP | R968 | 01 | |
| MD | MAGELLAN GROUP | 259147000 | 01 |
| MD | 609550001 | 05 | |
| MD | CAREFIRST BCBS PIN | 893100-01 | 01 |
| Street Address |
2336 GODDARD PARKWAY |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730276429 | Patricia Annette Brown | Social Worker | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-10-06 |
| 1871898270 | Lenora A Smooth | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801-1126 | 2011-01-14 |
| 1346309390 | Evelyne Kunkumah | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-12-06 |
| 1841378254 | Latoya Donyell Gattis | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1417035825 | Darrell M Jackson | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1952489361 | Jamie Lynn Schaffener | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1497833800 | Brittany Joy Elbourn | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1306924717 | Nicholas Travis Pearson | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1023196433 | Nina Mary Thompson | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1932287349 | Angel Evette Hutley | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585726 | Kala Farrare | Social Worker | 28205 Rockawalkin Ridge Rd, Salisbury, MD 21801-2107 | 2020-07-15 |
| 1972134328 | Lisa C Barnes | Social Worker | 5910 Tappan Ln, Salisbury, MD 21801-1604 | 2020-02-03 |
| 1881225167 | Innovative State of Mind LLC | Social Worker | 116 Baptist St, Salisbury, MD 21801-4911 | 2020-01-27 |
| 1518598853 | Harmony Counseling Services LLC | Social Worker | 1201 Pemberton Dr Ste 1d, Salisbury, MD 21801-2401 | 2020-01-27 |
| 1952947103 | Greater Glory Community Center | Social Worker | 1015 Old West Innes St, Salisbury, NC 28144-3171 | 2019-11-22 |
| 1528625266 | Paulina Sandra Rivera | Social Worker | 165 Mahaley Ave, Salisbury, NC 28144-2448 | 2019-05-28 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1689159931 | Donna Elaine Johnson | Social Worker | 9 2nd St, Salisbury, MA 01952-2524 | 2018-10-02 |
| 1962980524 | Jill J Tapper | Social Worker | 135 Beach Rd Unit A1, Salisbury, MA 01952-2253 | 2018-08-05 |
| 1164927448 | Edwana Cottman | Social Worker | 100 E Carroll St # 101102, Salisbury, MD 21801-5422 | 2018-03-28 |
| Find all providers in SALISBURY | ||||
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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.