Kellie R Dryden LCSW Counseling Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KELLIE R DRYDEN LCSW COUNSELING SERVICES

Practice address

424 Lewis Hargett Cir Ste 250
Lexington, KY 40503-3687

Phone

(859) 806-9455

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Kellie Reagan Dryden, LCSWNPI 1790106888

Title

Owner

Phone

(859) 806-9455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kellie Dryden, LCSW

  • Clinical Social Worker
  • Lexington, KY
  • NPI 1790106888
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1154013449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 LEWIS HARGETT CIR STE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033687",
            "telephone_number": "859-806-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LEWIS HARGETT CIR STE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033687",
            "telephone_number": "859-806-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE R DRYDEN LCSW COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "DRYDEN",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "REAGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-806-9455",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Kelley
• Nancy Woolums Kelley, LCSW
• Sandra Tracey Kelley, NP
• Shannon Kelley
• Susan Kelley, LCSW
• Chloe Kellom
• Brittany Ann Kellum, DNP
• Adriana Irene Kelly, APRN
• Alexandra Renee Kelly, PH.D., HSP
• Amanda Catherine Kelly, PA-C

• Clinical Social Worker in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.