Felicia Priscilla Kelley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW112644 Issued in CA

Practice address

4590 Allstate Dr
Riverside, CA 92501-1702

Phone

(951) 525-0811

NPI assigned

Nov 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• McKinley Children'S Center

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1831691880
  NPD
• McKinley Children'S Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, CA
  • NPI 1528743846
  NPD

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1053565713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 ALLSTATE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 ALLSTATE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011702",
            "telephone_number": "951-525-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925064290",
            "country_code": "US",
            "telephone_number": "909-599-1227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Haven Ave",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305807",
            "country_code": "US",
            "telephone_number": "909-980-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "FELICIA",
        "middle_name": "PRISCILLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW75019",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW112644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Kegley
• Dana Keim
• Keith Turner, M.D. a Professional Corporation
• Tariq A. Kelker, M.D.
• Deborah Ann Kelley, LCSW
• Grant McGregor Kelley, D.D.S.
• Kathleen Anne Kelley, MS, MFT
• Hannah Elizabeth Kellogg
• Hannah M Kellogg
• Anthony Ringo Kelly Jr.

• Clinical Social Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.