LINDA SUE KELLEY (NPI# 1477508646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477508646 |
| Entity Type | Individual |
| Full Name | LINDA SUE KELLEY |
| Credential | LCSW |
| Practice Address |
650 Joel Dr Fort Campbell KY 42223-5318 |
| Practice Telephone | 2707988601 |
| Practice Fax Number | 2707988239 |
| Mailing Telephone | 2707988601 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | SW 8644 | FL | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 1809 | KY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW 8644 | FL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1809 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11490320 | 01 | |
| KY | 30605018 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026654 | Linda Kelley | Nurse Practitioner | 1407 N Locust Ave, Lawrenceburg, TN 38464-2200 | 2015-10-27 |
| 1508273400 | Linda Rochelle Kelley | Physical Therapy Assistant | 2 Wynona St, Fort Smith, AR 72901-6555 | 2014-07-13 |
| 1558514265 | Linda Kelley | Acupuncturist | 12580 W Beardsley Rd, Sun City West, AZ 85375-3353 | 2008-10-24 |
| 1306065024 | Linda Michele Kelley | Obstetrics & Gynecology | 4343 Shallowford Rd # B-4, Marietta, GA 30062-5023 | 2007-04-24 |
| 1710396304 | Linda Kelley | Counselor | 9241 Park Royal Dr, Fort Myers, FL 33908-9204 | 2014-08-07 |
| 1760771224 | Linda Kelley | Counselor | 12005 E 470 Rd, Claremore, OK 74017-3737 | 2011-04-05 |
| 1417280751 | Linda Kelley | Registered Nurse | 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 | 2009-09-17 |
| 1538350400 | Linda Lee Kelley | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-08-06 |
| 1851354062 | Linda Kelley | Nurse Practitioner | 920 2nd Ave S, Suite 400, Minneapolis, MN 55402-3318 | 2006-04-10 |
| Street Address |
650 JOEL DR |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601803 | Carol Lynn Pasewark | Counselor | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2005-07-07 |
| 1568063519 | Jeremy Schadewald | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-05 |
| 1578164760 | Brandi Mangan | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-04 |
| 1912506692 | Rose Dunn | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-10-22 |
| 1659989440 | Patrick Ogden | Student in an Organized Health Care Education/Training Program | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-17 |
| 1487262408 | John William Zamora | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1295343218 | Joshua Ryan Agard | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1902424435 | Shaina Escribano-miranda | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-10 |
| 1326665514 | Cristal Lagail Trotter | Nurse Anesthetist, Certified Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-03 |
| 1689209728 | William James Bradshaw | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962801530 | Donna Vaughn | Social Worker | 650 Joel Dr Bldg 2523, Family Advocacy Program, Fort Campbell, KY 42223-5318 | 2014-08-19 |
| 1689908931 | Sherry Lynn Morgan | Social Worker | Joel Dr. Bldg. 650 Rooom 1bd 35, Fort Campbell, KY 42223 | 2009-09-18 |
| 1295393486 | Anthony Alex Priest | Social Worker | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2019-06-03 |
| 1124513429 | Ariel T Bergeron | Social Worker | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2018-06-28 |
| 1255868105 | Julia King | Social Worker | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2017-05-22 |
| 1871020081 | Marquita Sheree Barr | Social Worker | Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | 2017-05-18 |
| 1184073827 | Jenny Harmon | Social Worker | 650 Joel Drive, Fort Campbell, KY 42223-5349 | 2016-06-03 |
| 1669833778 | Ikemefula Nwangburuka | Social Worker | 650 Joel Dr, Fort Campbell, KY 42223 | 2016-03-16 |
| 1154707644 | Lacey Bombarger | Social Worker | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-08-06 |
| 1588904130 | Kara Potaracke | Social Worker | 650 Joel Dr, Fort Campbell, KY 42223 | 2013-02-19 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.