PAUL KEVIN KELLY (NPI# 1326670308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326670308 |
| Entity Type | Individual |
| Full Name | PAUL KEVIN KELLY |
| Practice Address |
151 Burrs Ln Dix Hills NY 11746-6052 |
| Mailing Address |
210 Atlantic Ave Blue Point NY 11715-1410 |
| Practice Telephone | 6312533480 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
092503 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417366105 | Paul Kelly | Counselor | 1 Railroad Ave, Closter, NJ 07624-1240 | 2014-08-06 |
| 1457782658 | Paul Kelly | Counselor | 481 8th Avenue, Suite 520, New York Pathways, New York, NY 10001 | 2013-12-13 |
| 1164790960 | Paul A Kelly Sr. | Counselor | 3071 South Donouvan Street, Wasilla, AK 99654 | 2011-12-07 |
| 1609071836 | Paul D. Kelly | Chiropractor | 932 N Mitchell St, Suite 6, Cadillac, MI 49601-1285 | 2007-06-18 |
| 1316079924 | Paul Owen Kelly | Internal Medicine | 4713 State Rd, Drexel Hill, PA 19026-4727 | 2007-03-09 |
| 1629112685 | Paul Anthony Kelly | Acupuncturist | 152 Tamarack Cir, Skillman, NJ 08558-2021 | 2007-02-16 |
| 1831253533 | Paul Colin Kelly | Physical Therapist | 113 E 23rd St, New York, NY 10010-4507 | 2006-12-20 |
| 1841352895 | Paul Edward Kelly | Counselor | 3698 Seabass Rd, Decatur, GA 30034-6954 | 2006-12-15 |
| 1538230255 | Paul David Kelly | Pharmacist | 270 Lafayette Rd, Seabrook, NH 03874-4542 | 2006-11-13 |
| 1548297930 | Paul F Kelly | Internal Medicine | 56 Franklin St., 3rd Floor, Waterbury, CT 06706-1253 | 2006-06-28 |
| Street Address |
151 BURRS LN |
| City | DIX HILLS |
| State | NY |
| Zip Code | 11746-6052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356410807 | Carla Carlyon | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2006-11-07 |
| 1629684154 | Jennifer-ann Margaret Ramanand | Counselor | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2020-09-21 |
| 1083231237 | Aleeyah Sydnor | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2020-07-02 |
| 1598397663 | Sam Jeffrey Young | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2020-02-06 |
| 1609424944 | Vilma Vanessa Herrera Tobar | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2019-08-29 |
| 1356814354 | Amanda Lynn Myczkowski | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2019-01-02 |
| 1285106229 | Donna Walsh | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2018-12-31 |
| 1336611540 | Jessica Ann Davis | Counselor | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2018-12-28 |
| 1093287591 | Veronica Cindi Bluesky Treadwell | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2018-12-20 |
| 1871065763 | Mary Noto-gilroy | Social Worker | 151 Burrs Ln, Dix Hills, NY 11746-6052 | 2018-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044170 | Gail Sackett | Registered Nurse | James E. Allen Learning Center, 762 Deer Park Road, Dix Hills, NY 11746 | 2020-02-06 |
| 1275011835 | Kimberly Susan Tillett | Licensed Practical Nurse | 22 Millet St., Dix Hills, NY 11746 | 2018-08-04 |
| 1225514409 | Mauricio R. Milhoua | Otolaryngology | 16 Marion Place, South Huntington, NY 11746 | 2018-07-11 |
| 1073037032 | Stacy H Schoenbach | Nurse Practitioner | 150 Broadhollow Road Suite 310, Melville, NY 11746 | 2017-08-01 |
| 1124542584 | Molar To Molar Dentistry PC | Dentist | 1679 New York Avenue, Huntington Station, NY 11746 | 2017-07-27 |
| 1114451077 | Ashleigh Lakatos | Specialist/Technologist | 586 Vanderbilt Pkwy, Dix Hills, NY 11746 | 2017-04-18 |
| 1487199170 | Aderemi O. Ogundiran | Student in an Organized Health Care Education/Training Program | 10 Mont Avenue, Dix Hills, NY 11746 | 2017-01-04 |
| 1942758347 | Philopenie Moise | Registered Nurse | 58 Alpine Way, Huntington Station, NY 11746 | 2016-09-14 |
| 1235598996 | Helen Martignette | Registered Nurse | 121 Wolf Hill Rd, Birchwood School, Melville, NY 11746 | 2016-02-23 |
| 1154780963 | Karen Rose Jacobsen | Registered Nurse | 165 Pidgeon Hill Road, South Huntington, NY 11746 | 2016-02-22 |
| Find all providers in zip 11746 | ||||
| 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 |
|---|---|---|---|---|
| 1124672159 | Bina Zaidi | Social Worker | 151 Truxton Rd, Dix Hills, NY 11746-6827 | 2019-07-29 |
| 1306300728 | Stefanie Jill Wasserman | Social Worker | 22 Branwood Dr, Dix Hills, NY 11746-5710 | 2019-01-30 |
| 1497144216 | Diana Millson | Social Worker | 8 Ebbtide Ln, Dix Hills, NY 11746 | 2015-01-16 |
| 1144656372 | Barbara L Colombo-clague | Social Worker | 151 Burrs Lane, Dix Hills, NY 11746 | 2013-09-19 |
| 1255766895 | Bettina J Bove | Social Worker | 20 Candlewood Path, Dix Hills, NY 11746-5304 | 2013-09-12 |
| 1336303320 | Linda A Wilk | Social Worker | 9 Willard Way, Dix Hills, NY 11746-7826 | 2008-07-18 |
| 1992976302 | Rosemary Panaro | Social Worker | 24 Estates Pl, Dix Hills, NY 11746-5617 | 2008-03-13 |
| 1952508905 | Dorothy A Tuma | Social Worker | 21 S Hollow Rd, Dix Hills, NY 11746-6141 | 2007-07-02 |
| 1881806990 | Stacy Cara Klein | Social Worker | 10 Long Acre Lane, Dix Hills, NY 11746-7926 | 2007-05-03 |
| 1467671420 | Denise M Fields | Social Worker | 18 Pettit Dr, Dix Hills, NY 11746-5923 | 2007-04-25 |
| Find all providers in DIX HILLS | ||||
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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.