Active NPI
Kelly L Darby, LCSW
- Clinical Social Worker
- Belleville, WI
National Provider Identifier
1043482953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7425-123
- Practice address
- 619 River St
Belleville, WI 53508-9117 - Phone
- (608) 424-9100
- NPI assigned
- Mar 31, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7425-123 | WI | Primary |
Addresses
Primary practice location
619 River St
Belleville, WI 53508-9117
Mailing address
619 River St
Belleville, WI 53508-9117
Phone (608) 424-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43734400 | Medicaid | WI |
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 |
|---|---|---|---|
| 7425-123 | WI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1043482953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 RIVER ST",
"city": "BELLEVILLE",
"state": "WI",
"postal_code": "535089117",
"telephone_number": "608-424-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 RIVER ST",
"city": "BELLEVILLE",
"state": "WI",
"postal_code": "535089117",
"telephone_number": "608-424-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBY",
"first_name": "KELLY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7425-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43734400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belleville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.