Kathleen B Kelly, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW-007136-L Issued in PA

Practice address

343 S 3Rd St
Coopersburg, PA 18036-2111

Phone

(610) 282-2575

Fax

(610) 282-3076

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Keystone Counseling Services, PC

  • Counseling Psychologist
  • Coopersburg, PA
  • NPI 1689775157
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184781890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 S 3RD ST",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362111",
            "telephone_number": "610-282-2575",
            "fax_number": "610-282-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S 3RD ST",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180362111",
            "telephone_number": "610-282-2575",
            "fax_number": "610-282-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHLEEN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW-007136-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Allen Holland, SLP
• Vieta Hymans, HOME HEALTH AID
• Noushin Jafari
• Jair-V ABA Services LLC
• Leah Marie John, D.C.
• William J Kelly, PH.D.
• Keystone Counseling Services, PC
• Kaitlin Ann Kline, OT
• Michael R Kotch
• Raymond Michael Kowalcyk, PH. D.

• Clinical Social Worker in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.