MS. DEBORAH ANN KELLY (NPI# 1942389382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942389382 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH ANN KELLY |
| Credential | LICSW |
| Practice Address |
1205 Central St Leominster MA 01453-5903 |
| Practice Telephone | 9785371835 |
| Mailing Telephone | 9785371835 |
| Enumeration Date | 2006-11-05 |
| 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 |
1016244 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MAGELLAN | 171035 | 01 |
| MA | UNITED BEHAVIORAL HEALTH | 55449731 | 01 |
| MA | VALUE OPTIONS | 005527 | 01 |
| MA | BLUE CROSS BLUE SHIELD | 7104711 | 01 |
| MA | TUFTS HEALTH PLAN ID | 717551 | 01 |
| MA | CHAMPUS | SO28275 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019119 | Deborah Lynn Kelly | Counselor | 6409 S Vinewood St Apt 106, Littleton, CO 80120-1805 | 2020-07-02 |
| 1942781364 | Deborah Ann Kelly | Licensed Vocational Nurse | 205 Coby Dr Unit B, Troy, TX 76579-2696 | 2018-08-23 |
| 1164965398 | Deborah Kelly | Registered Nurse | 31533 Gooseberry Way, Lewes, DE 19958-5829 | 2016-11-20 |
| 1215220538 | Deborah Kelly | Case Manager/Care Coordinator | 1473 W 34th St, Riviera Beach, FL 33404-2909 | 2011-05-19 |
| 1689909400 | Deborah Jeanne Kelly | Speech-Language Pathologist | 219 Plymouth Ave, Oreland, PA 19075-1705 | 2009-10-13 |
| 1053385369 | Deborah Marie Kelly | Social Worker | Icd, 340 E 24 Street, New York, NY 10010-4019 | 2006-02-14 |
| 1407494792 | Deborah Jean Kelly | Counselor | 319 Park St, Plainwell, MI 49080-1655 | 2019-12-17 |
| 1669790010 | Deborah Kelly | Nurse Practitioner | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2010-05-10 |
| 1205025814 | Deborah Kelly | Nurse Practitioner | 465 Columbus Ave Ste 370, Valhalla, NY 10595-1336 | 2007-10-19 |
| 1609067438 | Deborah B Kelly | Dietitian, Registered | 1425 Portland Ave, Rochester, NY 14621-3001 | 2007-08-07 |
| Street Address |
1205 CENTRAL ST |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053405035 | John Thomas Markham | Social Worker | 1205 Central St, Leominster, MA 01453-5903 | 2006-10-03 |
| 1437656642 | Gilad Poplinger | Counselor | 1205 Central St, Leominster, MA 01453-5903 | 2018-04-12 |
| 1487863726 | Dominick Dipilla, Dmd, PC | Dentist | 1205 Central St, Leominster, MA 01453-5903 | 2007-05-22 |
| 1144439480 | Doninick Dipilla | Dentist | 1205 Central St, Leominster, MA 01453 | 2007-05-22 |
| 1104978915 | Evelyn Kay Bennett | Social Worker | 1205 Central St, Leominster, MA 01453 | 2007-01-18 |
| 1649338807 | George David Bozicas | Psychologist | 1205 Central St, Leominster, MA 01453-5903 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| 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 |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1588121131 | Amira Rauf | Social Worker | 97 Nelson St, Leominster, MA 01453-2161 | 2019-03-01 |
| 1194296350 | Mary Ann Bilotta Blackman | Social Worker | 122 Granite St, Leominster, MA 01453-2504 | 2018-12-16 |
| 1437627908 | Connecting To Greatness LLC | Social Worker | 27 Monument Sq Ste 100, Leominster, MA 01453-5769 | 2018-11-02 |
| 1568943603 | Sara Elizabeth Rasmussen | Social Worker | 59 Grandview Ave, Leominster, MA 01453-2523 | 2018-08-27 |
| 1598246928 | Bonnie Schafer | Social Worker | 31 Sunrise Ave, Leominster, MA 01453-3422 | 2018-08-23 |
| 1306326582 | Kathryn Jane Cullinan | Social Worker | 600 Pennsylvania Ave Apt 308, Leominster, MA 01453-7402 | 2018-08-17 |
| 1255733630 | Yves Phaeton | Social Worker | 55c Terrace Dr Apt 7, Leominster, MA 01453-5842 | 2014-09-17 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1073897617 | Balance Counseling, LLC | Social Worker | 20 Main St Ste 2d, Leominster, MA 01453-5584 | 2011-09-30 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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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.