Robert J. Kelly, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000361 Issued in VA

Practice address

11825 Rock Landing Dr
100 James BLDG.
Newport News, VA 23606-4236

Phone

(757) 873-1736

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013928423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 ROCK LANDING DR",
            "address_2": "100 JAMES BLDG.",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064236",
            "telephone_number": "757-873-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 ROCK LANDING DR",
            "address_2": "100 JAMES BLDG.",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064236",
            "telephone_number": "757-873-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Marion Keller, RD
• Jesse Kelley
• Bonnie Jeanne Kelly, L.C.S.W.
• Gamion Kelly, PHARMD
• Lynn C Kelly, PA
• Anne Kennedy, NP
• Robinetta Kennedy
• Jeffrey N. Kenney, DDS
• Carol Kenreigh, ND, MH, CHS, CNC
• Jolynn Jennifer Kernan, PSY.D.

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.