KELLY KOSTELICH (NPI# 1437694957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437694957 |
| Entity Type | Individual |
| Full Name | KELLY KOSTELICH |
| Credential | LCSW |
| Practice Address |
833 Chestnut St Ste 210 Philadelphia PA 19107-4405 |
| Mailing Address |
2424 Frankford Ave Unit 3 Philadelphia PA 19125-1611 |
| Practice Telephone | 2155032838 |
| Mailing Telephone | 7178738801 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW20238 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851548119 | Kelly Diana Kostelich | Occupational Therapist | 2000 Mary St, Pittsburgh, PA 15203-2054 | 2008-08-19 |
| Street Address |
833 CHESTNUT ST STE 210 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639185291 | John Lauriello | Psychiatry & Neurology | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2006-08-01 |
| 1770103962 | Sharon Chaing | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-17 |
| 1851911085 | Aaron Michael Bloch | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-17 |
| 1568081487 | Julia Elizabeth Hannigan | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-10 |
| 1730708892 | Emily Sudhakar | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1053930172 | Rebecca Montana | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1588283790 | Martin Schardt | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1114546314 | Andie Rebecca Belkoff | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1922627140 | Katherine Gao | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-09 |
| 1770102840 | Hyowon Choi | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 210, Philadelphia, PA 19107-4405 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| 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 |
|---|---|---|---|---|
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1679170575 | Wendy Diane Nickerson | Social Worker | 741 S 2nd St, Philadelphia, PA 19147-3425 | 2020-10-04 |
| 1497362404 | Lora M Rhodes | Social Worker | 925 Chestnut St Ste 321a, Philadelphia, PA 19107-4216 | 2020-09-24 |
| 1841806395 | Molly Vocino | Social Worker | 925 Chestnut St Ste 422u, Philadelphia, PA 19107-4216 | 2020-09-21 |
| 1306452065 | Rebecca Cammy | Social Worker | 925 Chestnut St # 422w, Philadelphia, PA 19107-4216 | 2020-09-18 |
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1265045272 | Lisa Gabrielle Schilansky | Social Worker | 4813 Springfield Ave Apt 1, Philadelphia, PA 19143-3409 | 2020-08-28 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on KELLY KOSTELICH.
| 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.