Kelly C. Ardieta, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R043557-1 Issued in NY

Practice address

1344 University Ave
Suite 230
Rochester, NY 14607-1656

Phone

(585) 271-3090

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1144374620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 UNIVERSITY AVE",
            "address_2": "SUITE 230",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071656",
            "telephone_number": "585-271-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 UNIVERSITY AVE",
            "address_2": "SUITE 230",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071656",
            "telephone_number": "585-271-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDIETA",
        "first_name": "KELLY",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043557-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Archer, RN-BSN
• Carolyn M Archibald, RN
• Enid Archibald, LMSW, CASAC
• William Joseph Archibald, MD
• Katherine Joan Arden, MD
• Anil Arekapudi
• Melissa Arena, CASAC
• Eileen L Arend, RN
• Louis Arens
• Gabriel Oladepo Areoye, M.D.

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, 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 May 9, 2013; 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.