Kyle Patrick Flannelly, MSW, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012610 Issued in NC

Practice address

8512 Six Forks Rd Ste 101
Raleigh, NC 27615-3256

Phone

(919) 227-0253

NPI assigned

Jun 29, 2018

Sex

Male

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

Enrolled in NC

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Linings for Seniors, IncGroup PAC ID 6103137112, 25 clinicians

Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 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.

• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Hillsborough, NC
  • NPI 1629843933
  Medicare reassignment Care Compare group NPD
• Silver Linings for Seniors, Inc.

  • Clinical Social Worker
  • Cary, NC
  • NPI 1295124592
  Care Compare group
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Asheville, NC
  • NPI 1427823756
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1194210336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8512 SIX FORKS RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153256",
            "telephone_number": "919-227-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8524 Six Forks Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276152095",
            "country_code": "US",
            "telephone_number": "919-791-6212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANNELLY",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Flaherty, PA-C
• Catherine Jennifer Flanagan, CRNA
• Tiffany Monique Scott Flanagan, M.D.
• Sarah G Flanary
• Christina Marie Flannelly, MD
• Stephen John Flannelly, PH.D.
• Amber Flannigan
• Alexis Fleck
• Anna Fleischman, M.D.
• Gitanjali Madan Fleischman, M.D.

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.