TIMOTHY J KELLY (NPI# 1780027714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780027714 |
| Entity Type | Individual |
| Full Name | TIMOTHY J KELLY |
| Credential | L.C.S.W. |
| Practice Address |
5407 N Charles St Baltimore MD 21210-2024 |
| Practice Telephone | 4104338861 |
| Practice Fax Number | 4104331249 |
| Mailing Telephone | 4104338861 |
| Mailing Fax Number | 4104331249 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
12636 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720561608 | Timothy Kelly | Social Worker | 25a Vreeland Rd, Florham Park, NJ 07932-1910 | 2018-09-07 |
| 1942525928 | Timothy Anton Kelly | Home Health | 7954 Brooklyn Boulavard, 7954, Brooklyn Park, MN 55445 | 2010-04-01 |
| 1003026261 | Timothy Richard Kelly | Psychiatry & Neurology | 510 Azalea Dr Ste 200, Oxford, MS 38655-6903 | 2007-05-23 |
| 1700953163 | Timothy James Kelly | Chiropractor | 1038 Washington Street, Fairfield, CA 94533-5545 | 2006-11-29 |
| 1063592558 | Timothy P Kelly | Chiropractor | 3098 Piedmont Rd Ne Ste 430, Atlanta, GA 30305-2600 | 2006-10-17 |
| 1588653281 | Timothy Lynn Kelly | Dentist | 1600 Mountain View Rd, Suite 104, Rapid City, SD 57702-4381 | 2005-10-17 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1497758825 | Timothy G Kelly | Ophthalmology | 1915 Tradd Ct, Wilmington, NC 28401-6638 | 2005-05-31 |
| 1073140497 | Timothy Stephen Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl # 1149, New York, NY 10029-6504 | 2020-03-25 |
| 1649805888 | Timothy Dwyer Kelly | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-03-09 |
| Street Address |
5407 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558322198 | Inspirit Counseling Services, Inc. | Counselor | 5407 N Charles St, Baltimore, MD 21210-2024 | 2006-03-31 |
| 1750994042 | Catherine Michele Johns | Social Worker | 5407 N Charles St, Baltimore, MD 21210-2024 | 2020-08-26 |
| 1801430798 | Nancy Farrell Getter | Social Worker | 5407 N Charles St, Baltimore, MD 21210-2024 | 2019-11-04 |
| 1104474782 | Katherine Alexandra Gilmore | Social Worker | 5407 N Charles St, Baltimore, MD 21210-2024 | 2019-08-28 |
| 1366009086 | Maureen Elizabeth O'brien | Counselor | 5407 N Charles St, Baltimore, MD 21210-2024 | 2019-05-29 |
| 1356904387 | Molly Moore Halleron | Counselor | 5407 N Charles St, Baltimore, MD 21210-2024 | 2019-04-16 |
| 1902292162 | Jacquelyn Connor Steuerman | Social Worker | 5407 N Charles St, Baltimore, MD 21210-2024 | 2015-04-14 |
| 1467848275 | Tasi Onigbanjo | Counselor | 5407 N Charles St, Baltimore, MD 21210-2024 | 2015-04-08 |
| 1083023014 | Juliet Rose Cain | Counselor | 5407 N Charles St, Baltimore, MD 21210-2024 | 2014-08-04 |
| 1215357918 | Fred Medinger | Social Worker | 5407 N Charles St, Baltimore, MD 21210-2024 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1871070748 | Indigo Physiotherapy, LLC | Dietitian, Registered | 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 | 2018-07-24 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
| Find all providers in zip 21210 | ||||
| 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 |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
| Find all providers in BALTIMORE | ||||
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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.