Individual provider Active NPI

Lindia Jean Kelly-Stroman, SOCIAL WORKER

  • Clinical Social Worker
National Provider Identifier
1184732513
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801077599/1745623 Issued in MI
Practice address
Attn: Credentials Office
CMR 442
Apo, AE 09042
DE
Phone
496221172274
Fax
496221172941
NPI assigned
Aug 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801077599/1745623 MI Primary

Addresses

Primary practice location

Attn: Credentials Office
CMR 442
Apo, AE 09042
DE

Mailing address

Friedberg Health Clinic
CMR 453
Apo, AE 09074
DE
Phone 4906031813204

Other names 1

  • Ms. Lindia Jean Kelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801077599/1745623MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
US Army CurrentSince Jul 24, 2022 Accepting new patients
Darmstadt Health Clinic PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184732513",
    "addresses": [
        {
            "country_code": "DE",
            "country_name": "Germany",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "FRIEDBERG HEALTH CLINIC",
            "address_2": "CMR 453",
            "city": "APO",
            "state": "AE",
            "postal_code": "09074",
            "telephone_number": "4906031813204",
            "fax_number": "4906031813161"
        },
        {
            "country_code": "DE",
            "country_name": "Germany",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "ATTN: CREDENTIALS OFFICE",
            "address_2": "CMR 442",
            "city": "APO",
            "state": "AE",
            "postal_code": "09042",
            "telephone_number": "496221172274",
            "fax_number": "496221172941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-STROMAN",
        "first_name": "LINDIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077599/1745623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDIA",
            "last_name": "KELLY",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "SOCIAL WORKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.