Individual provider Active NPI

Anne Naus Kelley, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1023186731
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004046A Issued in IN
Practice address
5610 Crawfordsville Rd
Suite 101
Indianapolis, IN 46224-3727
Phone
(317) 332-1933
Fax
(317) 216-1856
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34004046A IN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 87000112A IN

Addresses

Primary practice location

5610 Crawfordsville Rd
Suite 101
Indianapolis, IN 46224-3727

Mailing address

5610 Crawfordsville Rd
Suite 101
Indianapolis, IN 46224-3727
Phone (317) 332-1933

Other names 1

  • Mrs. Anne Naus Naus Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
87000112AINMDAddiction (Substance Use Disorder) Counselor
34004046AINMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1023186731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 CRAWFORDSVILLE RD",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462243727",
            "telephone_number": "317-332-1933",
            "fax_number": "317-216-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 CRAWFORDSVILLE RD",
            "address_2": "SUITE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462243727",
            "telephone_number": "317-332-1933",
            "fax_number": "317-216-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ANNE",
        "middle_name": "NAUS",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004046A",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87000112A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "NAUS",
            "middle_name": "NAUS",
            "prefix": "MRS.",
            "credential": "M.S.W., L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.