TERESA KELLEY (NPI# 1407261969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407261969 |
| Entity Type | Individual |
| Full Name | TERESA KELLEY |
| Credential | CSW |
| Practice Address |
350 Alternate 19 North Suite C Palm Harbor FL 34683-0000 |
| Mailing Address |
3825 Henderson Blvd 405 Tampa FL 33629-5037 |
| Practice Telephone | 7132520887 |
| Practice Fax Number | 8883457010 |
| Mailing Telephone | 7132520887 |
| Mailing Fax Number | 8779573422 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW-8168 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564115 | Teresa D Kelley | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2018-07-18 |
| 1962765370 | Teresa Ann Kelley | Physical Therapist | 12656 W Geauga Plz, Chesterland, OH 44026-2505 | 2012-06-20 |
| 1831429273 | Teresa Lynn Kelley | Pharmacist | 1215 Duff Ave, Hy-vee Pharmacy, Ames, IA 50010-5400 | 2010-01-07 |
| Street Address |
350 ALTERNATE 19 NORTH SUITE C |
| City | PALM HARBOR |
| State | FL |
| Zip Code | 34683-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659939338 | Douglas W Webster | Social Worker | 3023 Us 19 Alternate, Suite 102, Palm Harbor, FL 34683 | 2019-05-29 |
| 1043774003 | Edward G Mackay, Md and Associates, LLC | Phlebology | 2863 Alternate 19 North, Palm Harbor, FL 34683 | 2019-01-24 |
| 1386178739 | The Childrens Doctor of Tampabay, Jacquelin Eniebles Md, Pllc | Pediatrics | 14499 North Dale Mabry Hwy, Suite 180-s, Tampa, FL 34683 | 2017-04-12 |
| 1154785855 | David Blair | Nurse Anesthetist, Certified Registered | 492 Lakeview Dr, 40, Palm Harbor, FL 34683 | 2016-04-08 |
| 1043688773 | Counseling Options LLC | Counselor | 2706 Alternate 19 N, Suite 219, Palm Harbor, FL 34683 | 2015-09-11 |
| 1295144699 | Charisse Renee Diaz | Counselor | 2708 Alternate 19 North, Suite 507-6, Palm Harbor, FL 34683 | 2014-08-11 |
| 1295153658 | Family Private Care Inc | Home Health | 3060 Alternate Us 19, Suite B-15, Palm Harbor, FL 34683 | 2014-04-02 |
| 1649696360 | Aghapy Care LLC | Psychologist | 989 Skye Lane, Palm Harbor, FL 34683 | 2014-03-06 |
| 1225465164 | Angel R Reale | Counselor | 2311 Alternate 19 N, Suite 1, Palm Harbor, FL 34683 | 2013-10-10 |
| 1699010660 | Pamela Ann Mullenbruck | Physical Therapy Assistant | 2208 Andover Circle, Palm Harbor, FL 34683 | 2012-12-03 |
| Find all providers in zip 34683 | ||||
| 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 |
|---|---|---|---|---|
| 1649809211 | Jennifer Cohen | Social Worker | 3642 Fremantle Dr, Palm Harbor, FL 34684-3069 | 2020-04-06 |
| 1760033500 | Piper Noelle Stannard Vanderlee | Social Worker | 860 Pinewood Ter W, Palm Harbor, FL 34683-2928 | 2019-09-23 |
| 1659939338 | Douglas W Webster | Social Worker | 3023 Us 19 Alternate, Suite 102, Palm Harbor, FL 34683 | 2019-05-29 |
| 1447814645 | Kirby Kelleher | Social Worker | 3730 Preakness Pl Apt 1704, Palm Harbor, FL 34684-4367 | 2019-04-24 |
| 1619431939 | Jennifer Klaus | Social Worker | 50 Durham Ct, Palm Harbor, FL 34683-6107 | 2019-01-31 |
| 1912473562 | Bonnie Nielsen | Social Worker | 2675 Tampa Rd, Palm Harbor, FL 34684-3109 | 2018-10-22 |
| 1508357369 | Debbie Stockton | Social Worker | 243 Katherine Blvd Apt 5107, Palm Harbor, FL 34684-3698 | 2018-05-28 |
| 1669981486 | Ashley Rideout LLC | Social Worker | 32801 Us Highway 19 N Ste 200, Palm Harbor, FL 34684-3105 | 2017-09-25 |
| 1326586603 | Susan Dixon | Social Worker | 350 Alt 19 Ste C, Palm Harbor, FL 34683-5303 | 2017-02-07 |
| 1649693888 | Marliss Rae Jones | Social Worker | 1107 Mainsail Circle, Palm Harbor, FL 34685 | 2014-01-23 |
| Find all providers in PALM HARBOR | ||||
| City | PALM HARBOR |
| Zip Code | 34683 |
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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.