Active NPI
Kelly D Ulrich, LMSW
- Social Worker
- Ulster Park, NY
National Provider Identifier
1033764311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106293
- Practice address
- 1372 Old Post Rd
Ulster Park, NY 12487-5357 - Phone
- (845) 255-1400
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 106293 | NY | Primary |
Addresses
Primary practice location
1372 Old Post Rd
Ulster Park, NY 12487-5357
Mailing address
555 Main St
Kingston, NY 12401-8750
Phone (845) 706-1377
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
| License | State | Type | Specialty |
|---|---|---|---|
| 106293 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1033764311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 MAIN ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124018750",
"telephone_number": "845-706-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 OLD POST RD",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "124875357",
"telephone_number": "845-255-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "KELLY",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "106293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ulster Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.