CATHLEEN M KELLEY (NPI# 1366408098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366408098 |
| Entity Type | Individual |
| Full Name | CATHLEEN M KELLEY |
| Credential | LICSW |
| Practice Address |
2 Colchester Ave Burlington VT 05405-1764 |
| Mailing Address |
46 Mcmullen Ln Williston VT 05405-1764 |
| Practice Telephone | 8026562661 |
| Practice Fax Number | 8026563485 |
| Mailing Telephone | 8028783077 |
| Mailing Fax Number | 8026563485 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0890000277 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1007281 | 05 | |
| VT | BLUE CROSS BLUE SHIELD | 28173 | 01 |
| VALUE OPTIONS | 094775 | 01 | |
| CIGNA BEHAVIORAL HEALTH | 2302377 | 01 |
| Street Address |
2 COLCHESTER AVE |
| City | BURLINGTON |
| State | VT |
| Zip Code | 05405-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314793 | Amy Hughes Lansing | Psychologist | 2 Colchester Ave, Burlington, VT 05405-1764 | 2020-07-28 |
| 1518593722 | Timothy Stickle | Psychologist | 2 Colchester Ave, Burlington, VT 05405-1764 | 2020-03-19 |
| 1023587078 | Jessica Clifton | Psychologist | 2 Colchester Ave, Burlington, VT 05405-1746 | 2018-11-20 |
| 1851816185 | Hannah Holbrook | Student in an Organized Health Care Education/Training Program | 2 Colchester Ave, Burlington, VT 05401-1455 | 2017-08-08 |
| 1407209687 | Kelly J. Rohan | Psychologist | 2 Colchester Ave, Burlington, VT 05405-1764 | 2016-07-22 |
| 1043689607 | Emily Mazzulla | Psychologist | 2 Colchester Ave, Burlington, VT 05405-1764 | 2015-09-24 |
| 1902290919 | Kate Linnea | Psychologist | 2 Colchester Ave, Behavior Therapy and Psychotherapy Center, Inc., Burlington, VT 05405-1764 | 2015-03-27 |
| 1629350194 | Matthew Price | Psychologist | 2 Colchester Ave, The Behavior Therapy and Psychotherapy Center Universit, Burlington, VT 05405-1764 | 2011-09-12 |
| 1871735787 | Lisa Marie Cepeda | Psychologist | 2 Colchester Ave, Burlington, VT 05405-1764 | 2009-03-25 |
| 1861613820 | Alexandra S Potter | Psychologist | 2 Colchester Ave, Burlington, VT 05405-1764 | 2007-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760971667 | Erin A Deloye | Student in an Organized Health Care Education/Training Program | University of Vermont Atep- Department of Rms, Rowell Building 106 Carrigan Drive, Burlington, VT 05405 | 2018-05-07 |
| 1740717040 | Corey Gibeault | Audiologist | Eleanor M. Luse Center 489 Main Street, Pomeroy Hall, Burlington, VT 05405 | 2017-05-17 |
| 1427260652 | Julian Ruffin Sprague | Internal Medicine | 89 Beaumont Ave., Given Building E214, Burlington, VT 05405 | 2007-05-03 |
| 1043731268 | Hamilton Stockton Iv | Student in an Organized Health Care Education/Training Program | University of Vermont, Burlington, VT 05405 | 2017-06-28 |
| 1669916425 | Stephanie Lynn Hollop | Audiologist | 489 Main St, Burlington, VT 05405 | 2016-12-14 |
| 1932247434 | University of Vermont and State Agricultural College | Speech-Language Pathologist | 489 Main Street, University of Vermont Pomeroy Hall, Burlington, VT 05405 | 2007-02-05 |
| 1386169134 | Courtney Celeste White | Specialist/Technologist | 002 Rowell Hall, Burlington, VT 05405-0001 | 2017-08-12 |
| 1518321140 | Michael Duncan Kem | Anesthesiology | Uvm Medical Center Dept of Anesthesiology, 111 Colchester Ave, 222wp2, Burlington, VT 05405-0001 | 2016-04-09 |
| 1952796559 | John Steele Taylor Jr. | Psychiatry & Neurology | University of Vermont College of Medicine, 89 Beaumont Drive, Given D401, Burlington, VT 05405-0001 | 2015-03-31 |
| 1407296221 | Natalie Wilson | Student in an Organized Health Care Education/Training Program | University of Vermont Dept of Pediatrics, S-253 Given Courtyard 89 Beaumont Avenue, Burlington, VT 05405-0001 | 2013-06-25 |
| Find all providers in zip 05405 | ||||
| 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 |
|---|---|---|---|---|
| 1376167528 | Diana Keenan | Social Worker | 125 Saint Paul St Ste 106, Burlington, VT 05401-8462 | 2020-06-03 |
| 1538798491 | Earthside Counseling, LLC | Social Worker | 337 College St Ste 201, Burlington, VT 05401-8344 | 2020-04-03 |
| 1659902393 | Otis Lamonte Roberson II | Social Worker | 2008 S Mebane St Apt E, Burlington, NC 27215-7614 | 2020-01-31 |
| 1053963512 | Cassie Oxendine Price | Social Worker | 1708 S Mebane St Ste 302, Burlington, NC 27215-6591 | 2019-07-15 |
| 1497219653 | Innovative Family Therapy & Play Therapy Center LLC | Social Worker | 409 N 4th St Ste 108, Burlington, IA 52601-5255 | 2019-01-22 |
| 1013485788 | Deborah Smulian-siegel | Social Worker | 26 Beacon St Apt 3e, Burlington, MA 01803-3804 | 2018-11-10 |
| 1821564394 | Aya Inoue | Social Worker | 41 Main St Ste 1, Burlington, VT 05401-8431 | 2018-10-22 |
| 1154806131 | Janelle Ann Linskey | Social Worker | 5 Ruping Dr, Burlington, MA 01803-1818 | 2018-09-26 |
| 1427530955 | Emily Staecker | Social Worker | 9 Brown Ave, Burlington, MA 01803-3910 | 2018-08-31 |
| 1558842500 | Vincent Dirienzo | Social Worker | 6 Wildwood Ln, Burlington, MA 01803-1424 | 2018-08-28 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 05405 |
Please comment or provide details below to improve the information on CATHLEEN M KELLEY.
| 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.