KATHLEEN KELLY


Address: 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341
Phone: 8604634723

KATHLEEN KELLY (NPI# 1295335511) 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) 1295335511
Entity Type Individual
Full Name KATHLEEN KELLY
Credential MSW, LCSW
Practice Address 1672 S Ocean Ln Apt 155
Fort Lauderdale
FL 33316-3341
Practice Telephone 8604634723
Mailing Telephone 8604634723
Enumeration Date 2020-10-27
Last Update Date 2020-10-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
001591 CT Behavioral Health & Social Service Providers

Other Providers KATHLEEN KELLY

NPI Name Taxonomy Address Enumeration
1699226415 Kathleen Ann Kelly Clinical Medical Laboratory David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 2016-10-17
1033510359 Kathleen P Kelly Licensed Practical Nurse 25 Rogers Pl, Hyde Park, NY 12538-1112 2014-09-05
1730522418 Kathleen Kelly Registered Nurse 319 Middlesex Rd, Buffalo, NY 14216-3140 2013-04-11
1528328432 Kathleen Marie Kelly Behavioral Analyst 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 2012-05-24
1013241512 Kathleen Marie Kelly Psychologist #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 2009-09-30
1174739882 Kathleen Petrie Kelly Physical Therapist 4 Kildare Walk, Rockaway Point, NY 11697-1708 2007-05-16
1073664710 Kathleen Lorraine Kelly Counselor 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 2007-01-16
1811062839 Kathleen Kelly Nurse Practitioner 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 2006-11-22
1467455147 Kathleen A Kelly Dentist 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 2005-05-24
1295208999 Kathleen Kelly Registered Nurse 41521 W 11 Mile Rd, Novi, MI 48375-1803 2019-01-04

Office Location

Street Address 1672 S OCEAN LN APT 155
City FORT LAUDERDALE
State FL
Zip Code 33316-3341

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366064040 Jonathan David Ortiz Behavior Technician 1717 Se 4 Ave, Fort Lauderdale, FL 33316 2020-05-15
1306311626 Gateway Recovery Center, LLC Counselor 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 2018-10-13
1588141626 Natan Bastoky Family Medicine 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 2018-07-22
1104320126 Kathleen Kanani Graham Pharmacist 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 2018-03-23
1093224271 Lacosta Therapy, LLC Behavioral Analyst 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 2017-09-20
1124560370 Yulia Rybalka Pharmacist 217 Se 10th Street, Ft Lauderdale, FL 33316 2016-11-04
1730635376 Brian Alexander Reyes Specialist/Technologist 303 Se 3rd Ave, Ft Lauderdale, FL 33316 2016-09-01
1649726282 Jennifer Tabares Specialist/Technologist 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 2016-09-01
1609236850 Diane Nicole Shilling Nurse Practitioner 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 2016-03-01
1396113239 Victoria Rosado Adult Companion 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 2015-09-09
Find all providers in zip 33316

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
1497371728 Robin Nowling Social Worker 5850 Sw 37th Ave, Fort Lauderdale, FL 33312-6237 2020-06-23
1346874864 Doreen Marie Sanabria Social Worker 4165 Sw 51st St, Fort Lauderdale, FL 33314-5713 2020-02-24
1780214197 Latoya Child Cain Social Worker 2425 Nw 8th Pl Apt 2, Fort Lauderdale, FL 33311-6737 2020-01-24
1386203636 Shaina Michele Levinson Social Worker 351 Nw 17th Pl, Fort Lauderdale, FL 33311-4853 2019-06-11
1245897818 Marlana Staats Social Worker 333 Las Olas Way Ste 441, Fort Lauderdale, FL 33301-2884 2019-05-20
1437712312 Judy L. Gunn Lcsw, P.a. Social Worker 2003 W Cypress Creek Rd Ste 109, Fort Lauderdale, FL 33309-1834 2019-04-17
1538629506 Sandia Marcellon Social Worker 1324 Nw 5th Ave Apt 2, Fort Lauderdale, FL 33311-6052 2019-03-25
1538642111 Jill M Rubin Lcsw Social Worker 915 Middle River Dr Ste 417, Fort Lauderdale, FL 33304-3561 2018-09-10
1366956831 Srb Counseling & Consulting Pllc Social Worker 2020 W Mcnab Rd Ste 104, Fort Lauderdale, FL 33309-1005 2017-11-20
1083135727 Andrea Mallen Social Worker 2598 E Sunrise Blvd Ste 210-a, Fort Lauderdale, FL 33304-3230 2017-07-03
Find all providers in FORT LAUDERDALE

Competitor

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City FORT LAUDERDALE
Zip Code 33316

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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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