TRACY L KELLY (NPI# 1558630384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558630384 |
| Entity Type | Individual |
| Full Name | TRACY L KELLY |
| Credential | LCSW |
| Practice Address |
50 Woodbridge Ave Chatham NY 12037-1317 |
| Mailing Address |
Po Box 43 East Chatham NY 12060-0043 |
| Practice Telephone | 5183922400 |
| Mailing Telephone | 5183926556 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
073971-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982948725 | Tracy Susan Kelly | Counselor | 505 S Arlington Ave Ste 212-d, Reno, NV 89509-1527 | 2012-11-17 |
| 1942851308 | Tracy Kelly | Behavior Technician | 1901 S Main St, Keller, TX 76248-5120 | 2019-09-26 |
| 1194949388 | Tracy Ann Kelly | Specialist/Technologist, Other | 3000 Sw 148th Ave, Suite 200, Miramar, FL 33027-4169 | 2007-04-12 |
| 1891858668 | Tracy Kelly | Pediatrics | 205 Sage Rd, Suite 100, Chapel Hill, NC 27514-6995 | 2006-12-19 |
| 1518057249 | Tracy Rebecca Kelly | Radiology | 9200 W Wisconsin Ave, Dept of Radiation Oncology, Milwaukee, WI 53226-3522 | 2006-10-13 |
| 1194820456 | Tracy T Kelly | Internal Medicine | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2006-09-13 |
| Street Address |
50 WOODBRIDGE AVE |
| City | CHATHAM |
| State | NY |
| Zip Code | 12037-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457418550 | Chatham Central School District | Local Education Agency (LEA) | 50 Woodbridge Ave, Chatham, NY 12037-1317 | 2007-01-02 |
| 1699044479 | Lisa C. Toomey | Speech-Language Pathologist | 50 Woodbridge Ave, Chatham, NY 12037-1317 | 2011-12-22 |
| 1962771790 | Bridget Hogan-malanowski | Registered Nurse | 50 Woodbridge Ave, Chatham, NY 12037-1317 | 2011-12-22 |
| 1245509322 | Mary-noelle Fabiano | Registered Nurse | 50 Woodbridge Ave, Chatham, NY 12037-1317 | 2011-12-20 |
| 1851660047 | Valerie S Persons | Registered Nurse | 50 Woodbridge Ave, Chatham, NY 12037-1317 | 2011-12-19 |
| 1376826347 | Jordan M Mangold | Speech-Language Pathologist | 50 Woodbridge Ave, Chatham, NY 12037-1317 | 2011-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740666585 | Jillian Leigh Faxon | Pharmacist | 15 Coleman Street, Chatham, NY 12037 | 2015-08-04 |
| 1962899401 | Cindy C Dodge | Physical Therapist | 5 Roxbury Rd., Chatham Physical Therapy, Chatham, NY 12037 | 2015-04-22 |
| 1194946681 | Timothy John Mullen | Mechanotherapist | 25 Kinderhook Street, Chatham, NY 12037 | 2007-05-01 |
| 1285776690 | Colin H Heeps | Dentist | 1 Houseman Avenue, Chatham, NY 12037 | 2007-02-13 |
| 1871631705 | Yasamin Larizadeh | Social Worker | 607 State Route 295, Suite 7, Chatham, NY 12037 | 2007-02-02 |
| 1225079122 | Amy Surman | Physician Assistant | 31 Dardess Drive, Chatham, NY 12037 | 2006-06-10 |
| 1841609393 | Amy K Bartlett-palmer | Nurse Practitioner | 29 Jones Ave, Chatham, NY 12037 | 2014-08-08 |
| 1407962244 | Tracy Blatney | Massage Therapist | 19 Hudson Ave, Chatham, NY 12037-1110 | 2006-08-22 |
| 1508314048 | Integrity Chiropractic Wellness | Chiropractor | 19 Hudson Ave, Chatham, NY 12037-1110 | 2016-09-13 |
| 1932551298 | Paula Jane Daigle | Chiropractor | 19 Hudson Ave, Chatham, NY 12037-1110 | 2016-07-11 |
| Find all providers in zip 12037 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584891 | Alliah Irtan | Social Worker | 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 | 2020-10-02 |
| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1386258135 | Kimberly Lama Khan | Social Worker | 301 Henry St Fl 1, New York, NY 10002-4840 | 2020-08-31 |
| 1801406327 | Simone Curling | Social Worker | 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 | 2020-08-10 |
| 1720604622 | Matthew Joseph Danis | Social Worker | 219 W 15th St Apt 1f, New York, NY 10011-6449 | 2020-06-17 |
| 1710512538 | Carmen I Ramos | Social Worker | 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 | 2020-03-12 |
| 1134753429 | Susan London | Social Worker | 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 | 2020-02-26 |
| 1952948432 | Esmeralda Murati | Social Worker | 65 Tuckahoe Ave, Eastchester, NY 10709-3624 | 2019-12-04 |
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1891345781 | Danielle Tooley | Social Worker | 403 Broadway, Kingston, NY 12401-4625 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
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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.