KATHLEEN KELLY (NPI# 1295335511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
001591 | CT | Behavioral Health & Social Service Providers |
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 |
Street Address |
1672 S OCEAN LN APT 155 |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33316-3341 |
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 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 |
---|---|---|---|---|
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 |
City | FORT LAUDERDALE |
Zip Code | 33316 |
Please comment or provide details below to improve the information on KATHLEEN KELLY.
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.