Individual provider Active NPI

Kellie Ann Violon, LSW

  • Social Worker
  • Reading, PA
National Provider Identifier
1043706195
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW124235 Issued in PA
Practice address
144 N 6TH St
Reading, PA 19601-3502
Phone
(610) 375-7454
Fax
(610) 375-8521
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X SW124235 PA Primary

Addresses

Primary practice location

144 N 6TH St
Reading, PA 19601-3502

Mailing address

4555 Prestwick Dr
Reading, PA 19606-8912
Phone (610) 568-0348

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
SW124235PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Progressions Companies, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1043706195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 PRESTWICK DR",
            "city": "READING",
            "state": "PA",
            "postal_code": "196068912",
            "telephone_number": "610-568-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N 6TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196013502",
            "telephone_number": "610-375-7454",
            "fax_number": "610-375-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLON",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.