DAVID C KELLEY (NPI# 1447778774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447778774 |
| Entity Type | Individual |
| Full Name | DAVID C KELLEY |
| Credential | LMSW-CC |
| Practice Address |
50 Moody St Saco ME 04072-1536 |
| Practice Telephone | 8004343000 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC16953 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302277 | David Andrew Kelley I | Pharmacist | 5816 Osage Beach Pkwy Ste 104, Osage Beach, MO 65065-3046 | 2020-10-08 |
| 1598175481 | David Kelley Sr. | Pharmacist | 4475 24th Ave., Fort Gratiot, MI 48059 | 2014-05-01 |
| 1053633305 | David M Kelley | Physical Therapist | 31 Williamstown Road, Lanesboro, MA 01237 | 2010-02-26 |
| 1427121714 | David R Kelley | Urology | 100 Wason Anenue, Suite 120, Springfield, MA 01107-1119 | 2006-11-16 |
| 1083796478 | David Baker Kelley | Internal Medicine | 408 Lilly Rd Ne Ste C, Olympia, WA 98506-6954 | 2006-10-19 |
| 1184720088 | David J. Kelley | Psychologist | 632 Plank Rd, Suite 209, Clifton Park, NY 12065 | 2006-09-16 |
| 1174565121 | David B Kelley | Psychologist | 1010 Fir Ln, Lockhart, TX 78644-2059 | 2006-06-12 |
| 1750367017 | David W. Kelley | Nurse Anesthetist, Certified Registered | 708 E Marshall St, West Chester, PA 19380-4413 | 2005-12-19 |
| 1174830368 | David Kelley | Counselor | 17 Masonic St, Rockland, ME 04841-2808 | 2010-09-09 |
| 1417112442 | David M Kelley | Family Medicine | 8348 Washington Ave, Racine, WI 53406-3733 | 2008-07-18 |
| Street Address |
50 MOODY ST |
| City | SACO |
| State | ME |
| Zip Code | 04072-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891764544 | Mary Ann Clendenin | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2006-03-15 |
| 1174124549 | Eric H Penrod | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-11-03 |
| 1417558883 | Theodore G Mazur | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-11-03 |
| 1386242204 | Jillian K Young | Counselor | 50 Moody St, Saco, ME 04072-1536 | 2020-10-13 |
| 1689280273 | Kimberly B Morse | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-09-18 |
| 1265048854 | Jennafer E Soucy | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-09-18 |
| 1538771472 | Christine G Grundy | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-08-21 |
| 1841802774 | Connor J Tyrrell | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-08-21 |
| 1093325847 | Caitlin A Carey | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-08-06 |
| 1417575697 | Megan S Roemer | Social Worker | 50 Moody St, Saco, ME 04072-1536 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| 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 |
|---|---|---|---|---|
| 1629687454 | Rebekah Jean Hadiaris | Social Worker | 5 Hadiaris Ln, Saco, ME 04072-1669 | 2020-07-28 |
| 1245770304 | Mackenzie Lamoureux | Social Worker | 169 Smutty Ln, Saco, ME 04072-9718 | 2017-03-08 |
| 1992089395 | Thomas Earl Dinsmore | Social Worker | 209 Main St Ste 302&303, Saco, ME 04072-1566 | 2011-10-04 |
| 1851607139 | Rhoda Jean Richardson | Social Worker | 25 Rotary Dr, Saco, ME 04072-9500 | 2010-08-25 |
| 1225279748 | Michele Lee Savage | Social Worker | 110 Main St Ste 1400, Saco, ME 04072-3504 | 2009-03-12 |
| 1578722351 | Anne Savona Lcsw Pa | Social Worker | 9 Beach Street, Saco, ME 04072-2801 | 2008-06-05 |
| 1376711200 | Julie M Herrick | Social Worker | 56 Industrial Park Rd, Suite 1 & 2, Saco, ME 04072-1878 | 2008-02-13 |
| 1164619490 | Dolores Despres | Social Worker | 22 Sunrise Ave, Saco, ME 04072-2327 | 2007-10-01 |
| 1740322155 | Kathleen Grondin St. James | Social Worker | 19 Common St, Saco, ME 04072-3302 | 2007-02-13 |
| 1669518478 | Janice A Black | Social Worker | 74 Beach St, Saco, ME 04072-2812 | 2007-01-29 |
| Find all providers in SACO | ||||
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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.