Kelly Luce Acevedo

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW005370 Issued in GA

Legal business name

KELLY LUCE ACEVEDO

Practice address

111 Petrol PT
Suite H
Peachtree City, GA 30269-1550

Phone

(470) 296-1841

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Luce Acevedo, LMSWNPI 1588080600

Title

Licensed Master Social Worker

Phone

(470) 296-1841

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Luce Acevedo

  • Social Worker
  • Peachtree City, GA
  • NPI 1588080600
  NPD (past) Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1205266368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HOLLY SPRINGS DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693045",
            "telephone_number": "470-296-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PETROL PT",
            "address_2": "SUITE H",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691550",
            "telephone_number": "470-296-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY LUCE ACEVEDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LUCE",
        "authorized_official_title_or_position": "LICENSED MASTER SOCIAL WORKER",
        "authorized_official_telephone_number": "470-296-1841",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW005370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda H Katz, D.C.
• Nicole S Kearney, M.D.
• Lynn Matti Keel, LPCC
• Kekelo Medical Inc
• Lauren Christine Keller, CNM
• Christal Kelly, FNP-C
• Erica Marie Kennedy, NP
• Hillari Kennedy, DC
• Sheryl Ann Kennedy, FNP-BC
• Shelia J. Key, LPC

• Social Worker in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.