MR. ROBERT CHARLES KELLY (NPI# 1508064924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508064924 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CHARLES KELLY |
| Credential | L.C.S.W. |
| Practice Address |
984 N Broadway Suite Number 411 Yonkers NY 10701-1318 |
| Mailing Address |
247 Farragut Ave Hastings On Hudson NY 10706-3519 |
| Practice Telephone | 9149636068 |
| Mailing Telephone | 9149636068 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R026496-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02261521 | 05 | |
| NY | MHN | 174852 | 01 |
| NY | 080064 | VALUE OPTIONS | 01 |
| NY | GHI | 0076246 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871902494 | Robert Keith Kelly | Chiropractor | 243 Knoll Woods Dr, Rustburg, VA 24588-3316 | 2014-08-07 |
| 1336402452 | Robert Kelly | Family Medicine | 21 Hampton Rd Bldg 32nd, Exeter, NH 03833-4831 | 2012-06-22 |
| 1922375310 | Robert R. Kelly | Pediatrics | 110 Poncha Ave, Alamosa, CO 81101-2160 | 2011-11-29 |
| 1174708267 | Robert D. Kelly | Physical Medicine & Rehabilitation | 1500 Horizon Dr Ste 102b, Chalfont, PA 18914-3966 | 2008-01-08 |
| 1922202738 | Robert B Kelly | Neuromusculoskeletal Medicine & OMM | 823 Lacey Rd, Forked River, NJ 08731-1203 | 2007-06-14 |
| 1457555054 | Robert Henry Kelly | Orthopaedic Surgery | 1006 Russell Loop, The Villages, FL 32162-6458 | 2007-06-14 |
| 1811101876 | Robert H Kelly | Dentist | 24540 E Welches Rd, Welches, OR 97067-0347 | 2007-05-09 |
| 1902029291 | Robert J Kelly | Pharmacist | 4101 W 95th St, Oak Lawn, IL 60453-3587 | 2007-04-11 |
| 1790850675 | Robert Toms Kelly | Dentist | 1635 Doctors Cir, Wilmington, NC 28401-7405 | 2006-11-23 |
| 1497863039 | Robert B Kelly | Family Medicine | 14601 Detroit Rd Fl 2, Lakewood, OH 44107 | 2006-08-25 |
| Street Address |
984 N BROADWAY SUITE NUMBER 411 |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824828 | Kurt E Lauer | Specialist | 984 N Broadway, Suite L-05, Yonkers, NY 10701-1321 | 2005-10-07 |
| 1376105163 | Sheeja Kurian | Nurse Practitioner | 984 N Broadway, Yonkers, NY 10701-1318 | 2019-07-02 |
| 1477063188 | Christina Elizabeth Rajan | Pediatrics | 984 N Broadway, Yonkers, NY 10701-1318 | 2017-10-08 |
| 1457887424 | Afsana Qader, Dpm P.C. | Podiatrist | 984 N Broadway, Suite L07, Yonkers, NY 10701-1318 | 2017-05-11 |
| 1487195913 | Jonathan H Gorman Dds LLC | Clinic/Center | 984 N Broadway, Suite 504, Yonkers, NY 10701-1318 | 2017-03-16 |
| 1497114763 | Frank Meglio Medical Pllc | Psychiatry & Neurology | 984 N Broadway, Suite 419, Yonkers, NY 10701-1318 | 2016-02-16 |
| 1902263809 | Jazmine Andrea Dessaure | Registered Nurse | 984 N Broadway, Yonkers, NY 10701-1318 | 2016-01-22 |
| 1457725038 | Zakhar Shkadron | Physical Therapist | 984 N Broadway, Suite L-09, Yonkers, NY 10701-1318 | 2015-11-19 |
| 1316371420 | North Yonkers Chiropractic Services PC | Chiropractor | 984 N Broadway, Suite L-09, Yonkers, NY 10701-1318 | 2013-08-26 |
| 1760720106 | Montefiore Medical Center | Internal Medicine | 984 N Broadway, Yonkers, NY 10701-1318 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| 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 |
|---|---|---|---|---|
| 1124626692 | Hyacinth Lcsw Services | Social Worker | 222 N Broadway Apt 5c, Yonkers, NY 10701-2617 | 2020-10-15 |
| 1043823198 | Stephanie Shwed | Social Worker | 560 Tuckahoe Rd Apt 5a, Yonkers, NY 10710-5725 | 2020-08-28 |
| 1033727086 | Leanna Lee-sydnor, Lcsw Psychotherapy Services,llc | Social Worker | 100 Riverdale Ave Apt 12k, Yonkers, NY 10701-4618 | 2020-07-15 |
| 1285257923 | Steven Richard Clarry | Social Worker | 608 Warburton Ave, Yonkers, NY 10701-1651 | 2020-05-27 |
| 1720601859 | Susan Taylor Watson | Social Worker | 89 Landscape Ave, Yonkers, NY 10705-3831 | 2020-05-23 |
| 1538781968 | Sandra Manzueta | Social Worker | 61 Belmont Ave Apt 1n, Yonkers, NY 10704-2847 | 2020-05-07 |
| 1861049751 | Mindful Living Social Work, Lcsw, LLC | Social Worker | 160 Ravine Ave Apt 2c, Yonkers, NY 10701-2177 | 2019-08-24 |
| 1952874729 | Christine Ann Coyne | Social Worker | 600 Tuckahoe Rd, Yonkers, NY 10710-5723 | 2019-01-04 |
| 1629566096 | Elika A Nerette | Social Worker | 360 S Broadway Ste 23, Yonkers, NY 10705-2097 | 2018-05-01 |
| 1003315102 | Madeline Maldonado, Lcsw Consulting P.C. | Social Worker | 78 Hillcrest Ave, Yonkers, NY 10705-1508 | 2018-02-05 |
| Find all providers in YONKERS | ||||
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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.