Lloyd Thurston Kelley, L..C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1244 Issued in LA

Practice address

2829 4TH Ave Ste 150
Lake Charles, LA 70601-7897

Phone

(337) 480-7800

Fax

(337) 474-4552

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MMG Archer Institute, LLCGroup PAC ID 7719227115, 16 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.

• MMG Archer Institute, LLC

  • Psychiatry Physician
  • Lake Charles, LA
  • NPI 1952897688
  Medicare reassignment Care Compare group NPD
• Southwest Louisiana Hospital Association Inc

  • Psychiatric Hospital Unit
  • Lake Charles, LA
  • NPI 1679637805
  NPD

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1093774879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123977 DEPT 3977 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2772",
            "fax_number": "337-494-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 4TH AVE STE 150",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017897",
            "telephone_number": "337-480-7800",
            "fax_number": "337-474-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LLOYD",
        "middle_name": "THURSTON",
        "credential": "L..C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2509551",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1244",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith F. Desonier, M.D, Apmc
• Keith F. Desonier, MD, Apmc
• Logan J Keller, NP
• Brian Christopher Kelley, D.O.
• Holley Nanette Kelley, D.O.
• Brandi J Kelly, MD
• Quovase Kelly
• Sophia Jean Kelly
• Shyrhonda Kenebrew
• Amy Harper Kennedy, PLC

• Clinical Social Worker in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.