MR. ERIC JAMES KELLY (NPI# 1154666576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154666576 |
| Entity Type | Individual |
| Full Name | MR. ERIC JAMES KELLY |
| Credential | LCSW |
| Practice Address |
3801 Lake Boone Trl Suite 150 Raleigh NC 27607-2934 |
| Practice Telephone | 9192102070 |
| Mailing Telephone | 9192102070 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007238 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558626176 | Eric Kelly | Marriage & Family Therapist | 994 Main St, Peekskill, NY 10566-2904 | 2012-07-10 |
| 1023228913 | Eric Kelly | Physical Therapy Assistant | 349 Bidwell St, Manchester, CT 06040-6471 | 2007-05-22 |
| 1699788133 | Eric Kelly | Marriage & Family Therapist | 2 Commercial Blvd, Suite 200, Novato, CA 94949-6123 | 2006-08-15 |
| 1811964810 | Eric Kelly | Chiropractor | 366 S Main St, Cheshire, CT 06410-3115 | 2006-03-08 |
| 1568902401 | Eric Scott Kelly | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2017-02-25 |
| 1487750824 | Eric Michael Kelly | Physical Therapist | 564 Hoosick St, Troy, NY 12180-2106 | 2006-09-15 |
| Street Address |
3801 LAKE BOONE TRL SUITE 150 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003847229 | Easter Seals Ucp Asap Inc | Clinic/Center | 3801 Lake Boone Trl, Suite 320, Raleigh, NC 27607-2934 | 2006-07-05 |
| 1669862157 | Megan P Denis | Counselor | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2015-02-04 |
| 1811387657 | Cathy Donohue | Social Worker | 3801 Lake Boone Trl, Suite #150, Raleigh, NC 27607-2934 | 2015-02-02 |
| 1720400120 | Mary Louise Herndon Porch | Counselor | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2014-01-20 |
| 1306275953 | Erin Terry | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2013-11-04 |
| 1609208875 | Kimberly Ann Smitley | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2013-07-30 |
| 1891135810 | Easter Seals Ucp | Community/Behavioral Health | 3801 Lake Boone Trl, 100, Raleigh, NC 27607 | 2013-07-05 |
| 1992141931 | Catherine Maureen Pleil | Social Worker | 3801 Lake Boone Trl, Suite 100, Raleigh, NC 27607-2934 | 2013-05-16 |
| 1295171593 | Leah Johanna Graham | Counselor | 3801 Lake Boone Trl, Suite 200, Raleigh, NC 27607-2934 | 2013-05-14 |
| 1720324536 | Easter Seals Ucp North Carolina & Virginia | Counselor | 3801 Lake Boone Trl, Raleigh, NC 27607-2934 | 2012-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1295333516 | Susan Silberman | Social Worker | 8480 Honeycutt Rd Ste 200, Raleigh, NC 27615-2261 | 2020-10-09 |
| 1427665074 | Arshiya F Siddiqui | Social Worker | 12900 Saxon Way, Raleigh, NC 27613-5753 | 2020-09-28 |
| 1427661784 | Priscilla Janine James | Social Worker | 913 Haynes St, Raleigh, NC 27604-1463 | 2020-08-26 |
| 1730791443 | Robin Hotard Roche | Social Worker | 3209 Clandon Park Dr, Raleigh, NC 27613-8839 | 2020-08-24 |
| 1124639786 | Richetta White | Social Worker | 2921 Berkeley Springs Pl, Raleigh, NC 27616-6645 | 2020-08-16 |
| 1356950349 | Rachel Elizabeth Zarcone | Social Worker | 702 Van Buren Rd, Raleigh, NC 27604-2368 | 2020-07-27 |
| 1881202794 | Nikki Atkins | Social Worker | 3125 Poplarwood Ct Ste 211, Raleigh, NC 27604-6445 | 2020-07-16 |
| 1770100547 | Flourish Mental Health Pllc | Social Worker | 8307 Six Forks Rd Ste 201, Raleigh, NC 27615-3768 | 2020-06-28 |
| 1235756057 | Amy Boiselle Fitzgerald | Social Worker | 524 S Boylan Ave, Raleigh, NC 27603-2130 | 2020-06-27 |
| 1639798200 | Tatiana Alicia Hinton | Social Worker | 3117 Poplarwood Ct Ste 350, Raleigh, NC 27604-6446 | 2020-04-13 |
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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.