Kelly R Hadley, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005445 Issued in WA

Practice address

3501 NW Lowell St
Suite 201
Silverdale, WA 98383-7851

Phone

(360) 698-8980

Fax

(360) 698-8950

NPI assigned

Apr 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023236544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 NW LOWELL ST",
            "address_2": "SUITE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837851",
            "telephone_number": "360-698-8980",
            "fax_number": "360-698-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 NW LOWELL ST",
            "address_2": "SUITE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837851",
            "telephone_number": "360-698-8980",
            "fax_number": "360-698-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "KELLY",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Guyton, RBT
• Gerald Grant Gwin Jr., LMP
• Michael Alan Gwinn, IDC
• Tei Habenicht, PA-C
• Amye M Hadley, ND, ARNP
• Brittany Irene Hageman, MA, CCC-SLP
• Rodney Steven Hagerman, DO, MPH
• Khaliliah Hagwood
• Lesley Patricia Hahn, DO
• Mica M Hall

• Clinical Social Worker in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Clinical Social Worker in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.