KELLY MARIE MCNELLIS (NPI# 1881037513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881037513 |
| Entity Type | Individual |
| Full Name | KELLY MARIE MCNELLIS |
| Practice Address |
703 W Church St Apt H Champaign IL 61820-3352 |
| Practice Telephone | 2174740002 |
| Mailing Telephone | 2174740002 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
703 W CHURCH ST APT H |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| 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 |
|---|---|---|---|---|
| 1609427269 | Willow Counseling LLC | Social Worker | 1415 Cobblestone Way, Champaign, IL 61822-2068 | 2019-09-25 |
| 1003395831 | Kevin Joseph Elliott | Social Worker | 1807 S Neil St, Champaign, IL 61820-7215 | 2018-08-13 |
| 1033570437 | Rani Brandon | Social Worker | 401 Springfield, Champaign, IL 61820-1911 | 2016-03-11 |
| 1497156954 | Tearra Mcdade | Social Worker | 905 Berwick Dr, 2, Champaign, IL 61822-1885 | 2014-09-15 |
| 1932531084 | Rochelle Spies | Social Worker | 1216 W John St, Champaign, IL 61821-3804 | 2013-07-31 |
| 1073856159 | Alicia Lorine Williams | Social Worker | 202 West Park St, Champaign, IL 61820-3723 | 2013-03-27 |
| 1750623302 | Sharnice Denine Jones | Social Worker | 21 Thatcham Dr Apt 12, Champaign, IL 61820-2380 | 2013-03-21 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1912215252 | Candace Logan | Social Worker | 311 W White St, Champaign, IL 61820-4805 | 2010-09-21 |
| 1922329523 | Candyce Neil | Social Worker | 609 Ridgewood Ct, Champaign, IL 61821-3529 | 2010-06-17 |
| Find all providers in CHAMPAIGN | ||||
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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.