Jonathan Robert Kelly, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117202-01 Issued in NY

Practice address

5505 Nesconset Hwy Ste 222
Mount Sinai, NY 11766-2026

Phone

(631) 892-2482

NPI assigned

Dec 14, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1053023770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W 171ST ST APT 22A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321948",
            "telephone_number": "631-816-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 NESCONSET HWY STE 222",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662026",
            "telephone_number": "631-892-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "117202-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Ted Kahn, D.M.D.
• Kahn,Kahn,Kahn
• Ronald B. Kaplan, LCSW
• Melissa Kaye, R.N.
• Tiffany Rose Kehoe, LCSW
• Maureen Kelly, LMSW
• Komal Khiani, MD
• Gina Marie Kiernan
• King Kullen Pharmacies Corp
• Bridgette L Knight, RN

• Clinical Social Worker in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.