MR. SCOTT EDWARD KELLY (NPI# 1295211001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295211001 |
| Entity Type | Individual |
| Full Name | MR. SCOTT EDWARD KELLY |
| Practice Address |
707 Ne Couch St Portland OR 97232-2922 |
| Mailing Address |
967 Sw 185th Ave Apt 1 Beaverton OR 97003-6659 |
| Practice Telephone | 5035424603 |
| Practice Fax Number | 5032336093 |
| Mailing Telephone | 5039981216 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891526 | Scott Andrew Kelly | Military Health Care Provider | 242 Avenida Pelayo Unit A, San Clemente, CA 92672-5033 | 2020-01-29 |
| 1356882625 | Scott Kelly | Specialist/Technologist | 21840 Nw 218th Ter, High Springs, FL 32643-9081 | 2017-03-20 |
| 1609998632 | Scott Michael Kelly | Specialist/Technologist | 1701 E Colter St Apt 209, Phoenix, AZ 85016-3374 | 2007-04-03 |
| 1477632396 | Scott S Kelly | Dentist | 116 W John St, Maumee, OH 43537-2145 | 2006-11-02 |
| 1467434357 | Scott Patrick Kelly | Emergency Medicine | Oaklawn Hospital, 200 N. Madison St., Marshall, MI 49068 | 2005-11-16 |
| 1811126105 | Scott Douglas Kelly | Ophthalmology | 2610 S Ih 35, Austin, TX 78704-5703 | 2009-07-07 |
| 1184892051 | Scott A Kelly | Psychologist | 3125 W Main St, Kalamazoo, MI 49006-2997 | 2008-02-13 |
| 1548389166 | Scott Andrew Kelly | Chiropractor | 16902 Southwest Fwy, Suite 100, Sugar Land, TX 77479-2350 | 2007-03-28 |
| 1215088406 | Scott M Kelly | Anesthesiology | 1229 Madison St, Suite 1440, Seattle, WA 98104-3586 | 2007-01-15 |
| 1962508093 | Scott Munro Kelly | Urology | 1004 1st St N, Suite 320, Alabaster, AL 35007-8766 | 2006-09-16 |
| Street Address |
707 NE COUCH ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003248642 | Janus Youth Programs, Inc. | Voluntary or Charitable | 707 Ne Couch St, Portland, OR 97232-2922 | 2013-08-06 |
| 1619506391 | Danica M Person | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-04-05 |
| 1003440009 | Elise Gilmore | Assistant Behavior Analyst | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-02-27 |
| 1306485446 | Ian Henderson | Day Training/Habilitation Specialist | 707 Ne Couch St, Portland, OR 97232-2922 | 2020-01-06 |
| 1144866112 | Emily Mckenna | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-25 |
| 1407492903 | Lowhren Kathleen Aceves | Counselor | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-20 |
| 1730724923 | Lora Lynn Elbon | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-11 |
| 1053956441 | Ell Em Eff | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-09 |
| 1356985352 | Gwynne L Mccay | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-11-01 |
| 1548804651 | Glori Johnson | Social Worker | 707 Ne Couch St, Portland, OR 97232-2922 | 2019-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| 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 |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| 1366080988 | Matthew Emerson Schultz | Social Worker | 314 Sw 9th Ave, Portland, OR 97205-2802 | 2019-12-13 |
| 1831749985 | Rachel Petke | Social Worker | 2800 N Vancouver Ave Ste 207, Portland, OR 97227-1630 | 2019-09-19 |
| 1639722390 | Jenna Su Morgan Wing | Social Worker | 905 Sw Cedar Hills Blvd Apt 1312, Portland, OR 97225-5772 | 2019-07-22 |
| Find all providers in PORTLAND | ||||
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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.