Christina Lynn Kelley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16822 Issued in FL

Practice address

2804 W Marc Knighton CT Ste a
Lecanto, FL 34461-6301

Phone

(352) 746-8000

NPI assigned

Jul 3, 2023

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

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1194402933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 LOCKHART RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346026283",
            "telephone_number": "727-512-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 W MARC KNIGHTON CT STE A",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344616301",
            "telephone_number": "352-746-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Doyle Jordan, MASSAGE THERAPIST
• Sandra Ann Jugov, OTR/L
• Stephen J Kauffman, DPM
• Christopher Aaron Keen, MD
• Angela White Kelley, PA-C
• Kelly Sieg Incorporated
• Kathleen Ann Kinney, LMHC
• Tricia Kisiday, MS OTR/L
• Mark Joseph Knapp, MD
• Kristina Rairie'S Speech Language Therapy Services, Inc.

• Clinical Social Worker in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.