KELSEY PETTY (NPI# 1508374299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508374299 |
| Entity Type | Individual |
| Full Name | KELSEY PETTY |
| Other Name | KELSEY MOSS |
| Practice Address |
101 Noahs Lane Jeffersonville IN 47130 |
| Practice Telephone | 8122841760 |
| Practice Fax Number | 8122828636 |
| Mailing Telephone | 8122841760 |
| Mailing Fax Number | 8122828636 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
101 NOAHS LANE |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303324 | Kristen Perry Washburn | Marriage & Family Therapist | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| 1346767084 | Daniel Whonsetler | Physician Assistant | Clark Memorial Hospital, 1220 Missouri Ave, Jeffersonville, IN 47130 | 2017-08-24 |
| Find all providers in zip 47130 | ||||
| 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 |
|---|---|---|---|---|
| 1619596533 | Tonesha Denise Hearn | Social Worker | 1205 Stonebench Cir, Jeffersonville, IN 47130-4195 | 2020-04-10 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1972032738 | Melissa Auter | Social Worker | 702 N Shore Dr Ste 201, Jeffersonville, IN 47130-3104 | 2017-06-06 |
| 1083096721 | Megan Rebecca Cade | Social Worker | 100 W Court Ave Ste 102, Jeffersonville, IN 47130-3532 | 2015-06-18 |
| 1356662514 | Monica Lee Schamel | Social Worker | 2420 East 10th St, Childplace, Jeffersonville, IN 47130 | 2010-06-22 |
| 1437288503 | Dorothy Laurice Hickerson | Social Worker | 460 Spring St., Jeffersonville, IN 47130 | 2007-03-05 |
| 1639175771 | Jennifer E Fisher | Social Worker | 2700 River City Park Rd, Jeffersonville, IN 47130-5989 | 2005-06-23 |
| 1881295889 | Kelli Christian | Social Worker | 460 Spring St, Jeffersonville, IN 47130-3452 | 2020-11-05 |
| 1235747965 | Melissa Konijeti | Social Worker | 460 Spring St, Jeffersonville, IN 47130-3452 | 2020-07-20 |
| 1902445596 | Airlea Michelle Williams | Social Worker | 2420 E 10th St, Jeffersonville, IN 47130-6000 | 2019-12-30 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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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.