CAROL KELLEY (NPI# 1821568676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821568676 |
| Entity Type | Individual |
| Full Name | CAROL KELLEY |
| Credential | LCSW |
| Practice Address |
21 Patten St Sonoma CA 95476-6726 |
| Mailing Address |
317 Janero Pl Sonoma CA 95476-7353 |
| Practice Telephone | 7075299524 |
| Mailing Telephone | 7075299524 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760559090 | Carol Lynn Kelley | Marriage & Family Therapist | 258 Sw 43rd St, A, Renton, WA 98055-4957 | 2006-11-30 |
| 1558353938 | Carol Lee Kelley | Optometrist | 12265 Oracle Blvd, Suite 120, Colorado Springs, CO 80921-3764 | 2005-08-22 |
| 1578965695 | Carol Kelley | Counselor | 300 Foxglove Dr, Mt Sterling, KY 40353-9769 | 2014-09-19 |
| 1093838450 | Carol Jean Kelley | Mechanotherapist | 1800 Westwind Dr, #500, Bakersfield, CA 93301-3055 | 2007-04-09 |
| 1992886303 | Carol Genet Kelley | Nurse Practitioner | 11100 Euclid Ave, Wrn 5057, Cleveland, OH 44106-1716 | 2006-10-18 |
| Street Address |
21 PATTEN ST |
| City | SONOMA |
| State | CA |
| Zip Code | 95476-6726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437346327 | James R. Powers | Dentist | 21 Patten St, Sonoma, CA 95476-6726 | 2007-09-25 |
| 1073743852 | Caroline Anne Laurent | Dentist | 21 Patten St, Sonoma, CA 95476-6726 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
| 1558895318 | Christy Murphy | Pharmacist | 19205 Sonoma Hwy, Sonoma, CA 95476 | 2017-04-18 |
| 1003355835 | Eric Wilson Garcia | Physical Therapist | 1331 Medical Center Dr, Rohnert Park, CA 95476 | 2017-02-13 |
| 1952759664 | Imgrx Sonoma Inc | Pharmacy | 19270 Sonoma Hwy, Suite A, Sonoma, CA 95476 | 2016-06-03 |
| 1790039121 | Joslyn Metzger | Social Worker | 10270 Sonoma Highway, Sonoma, CA 95476 | 2012-11-07 |
| 1477853182 | Marcy Swiatek Brandner | Counselor | 19343 Sonoma Highway, Sonoma, CA 95476 | 2010-10-27 |
| 1477784890 | Peter G. Meyerhof | Dentist | 684 W. Napa St., Sonoma, CA 95476 | 2009-08-03 |
| 1467692855 | Rebeca Fiske Bailey | Psychologist | 793 First St West, Sonoma, CA 95476 | 2009-02-25 |
| 1306099056 | Hubenette Dental Corporation | Dentist | 660 Third Street West, Sonoma, CA 95476 | 2008-10-28 |
| Find all providers in zip 95476 | ||||
| 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 |
|---|---|---|---|---|
| 1679056915 | Jenny Tobriner Perez | Social Worker | 525 Michael Dr, Sonoma, CA 95476-4626 | 2018-09-12 |
| 1790039121 | Joslyn Metzger | Social Worker | 10270 Sonoma Highway, Sonoma, CA 95476 | 2012-11-07 |
| 1750613725 | Linda Rae Martin | Social Worker | 445 Napa Rd, Sonoma, CA 95476-7626 | 2010-02-02 |
| 1528290400 | Laura Mae Van Waardenburg | Social Worker | 19343 Highway 12, Sonoma, CA 95476-5445 | 2009-08-11 |
| 1689853400 | Vicki S. M. Rivera-goin | Social Worker | 395 W Napa St Ste 3, Sonoma, CA 95476-6548 | 2007-10-29 |
| 1043403454 | Linda Goldman | Social Worker | 836 Princeton Dr, Sonoma, CA 95476-4154 | 2007-08-20 |
| 1356487706 | Carole Marie Petersen | Social Worker | 1193 Castle Rd, Sonoma, CA 95476-4827 | 2007-01-30 |
| 1962555623 | Michael Philip Brooks | Social Worker | 414 1st St E, Suite 3, Sonoma, CA 95476-6756 | 2007-01-18 |
| 1720155799 | Michael P Basta | Social Worker | 793 1st St W, Sonoma, CA 95476-7036 | 2006-11-29 |
| 1972720795 | Karen Anne Sanders | Social Worker | 793 1st St W, Sonoma, CA 95476-7036 | 2007-04-20 |
| Find all providers in SONOMA | ||||
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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.