KELLI LO (NPI# 1750501862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750501862 |
| Entity Type | Individual |
| Full Name | KELLI LO |
| Credential | LSW |
| Practice Address |
51564 Countryside Dr Granger IN 46530-4255 |
| Practice Telephone | 5742433391 |
| Mailing Telephone | 5742433391 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
33005234A | IN | Behavioral Health & Social Service Providers |
| Street Address |
51564 COUNTRYSIDE DR |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| 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 |
|---|---|---|---|---|
| 1295361863 | Diana K Moryl | Social Worker | 6910 N Main St Unit 13l, Granger, IN 46530-9681 | 2020-03-16 |
| 1740834324 | Anna K Detlefsen | Social Worker | 50740 Princess Way Ste 500, Granger, IN 46530-4339 | 2019-07-31 |
| 1679017834 | Bruce Joray | Social Worker | 50550 Little John Ln, Granger, IN 46530-7527 | 2016-12-07 |
| 1962727305 | Oliver James Davis Jr. | Social Worker | 6910 N Main St Unit 4, Granger, IN 46530 | 2010-03-29 |
| 1215926142 | Marcia A Koelndorfer | Social Worker | 14887 State Road 23, Ste 3, Granger, IN 46530-5629 | 2005-10-13 |
| 1861773780 | Miller Counseling Services | Social Worker | 50740 Princess Way, Suite 700, Granger, IN 46530-4339 | 2011-09-06 |
| 1831214105 | Sandra Lee Lovely | Social Worker | 6910 N Main St, Unit 5 Building 12, Granger, IN 46530-9680 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304059 | Peter B Qualy | Social Worker | 6552 Lana Ct E, New Palestine, IN 46163-9777 | 2020-10-20 |
| 1053910497 | Ellen Minter | Social Worker | 7108 Broadway Apt 1a, Merrillville, IN 46410-3469 | 2020-10-17 |
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1508464678 | Paris Counseling LLC | Social Worker | 3209 W Smith Valley Rd Ste 216, Greenwood, IN 46142-8510 | 2020-10-12 |
| 1356948806 | Hoosier Therapist LLC | Social Worker | 1371 Turkington Ct, Greenwood, IN 46143-5518 | 2020-10-07 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1710594783 | Shirley L Story-nelson | Social Worker | 4956 Washington St, Gary, IN 46408-4609 | 2020-09-24 |
| 1972118156 | Natasha Bragg | Social Worker | 12021 Northface Dr, Noblesville, IN 46060-9412 | 2020-09-14 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| 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.