Kelly Hornby, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

072894 Issued in NY

Practice address

18 Ampersand Dr
Plattsburgh, NY 12901-6500

Phone

(518) 566-0100

Fax

(518) 566-0168

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly Flynn Former name

Medicare fee-for-service enrollment

Enrolled in NY

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton CountyGroup PAC ID 7618960600, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton County

  • Mental Health Counselor
  • Plattsburgh, NY
  • NPI 1164465902

  NY

  Medicare reassignment Care Compare group NPD
• Clinton County

  • Clinic/Center
  • Plattsburgh, NY
  • NPI 1114979945
  Care Compare group NPD
• Clinton County

  • Skilled Nursing Facility
  • Plattsburgh, NY
  • NPI 1992854103
  Care Compare group

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1043371370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ARIZONA AVE",
            "address_2": "STE 1500",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129034908",
            "telephone_number": "518-565-4060",
            "fax_number": "518-566-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 AMPERSAND DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016500",
            "telephone_number": "518-566-0100",
            "fax_number": "518-566-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBY",
        "first_name": "KELLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "FLYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allison Marie Holland, SLP
• Laura Anne Holzer, LMHC, CEAP
• Melissa Anne Holzhauer, PHARMD
• John W Homer, MD
• Madeline Hope
• Hospice of the North Country, Inc
• Kenneth Hostek
• Jason Howard, PHARM.D.
• Sarah Lynn Howell, FNP
• Kim N Howley, RN

• All providers in Plattsburgh, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.