Kelly Tazi, MSSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

256613 Issued in KY

Practice address

525 W 5TH St
Covington, KY 41011-1259

Phone

(859) 816-5504

NPI assigned

Sep 19, 2022

Last updated

May 12, 2025By 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

Enrolled in KY

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Kentucky Mental Health Mental Retardation Regional Board

  dba NorthKey Community Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Covington, KY
  • NPI 1578527610
  Medicare reassignment NPD
• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Clinical, KY

  Medicare reassignment NPD
• Northern Kentucky Mental Health Mental Retardation Regional Board

  dba Northkey Community Care

  • Psychiatric Hospital
  • Covington, KY
  • NPI 1679775514
  NPD

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1205558087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W SOUTHERN AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410151363",
            "telephone_number": "859-739-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 5TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111259",
            "telephone_number": "859-816-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7459 Burlington Pike",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421553",
            "country_code": "US",
            "telephone_number": "859-578-3200",
            "fax_number": "859-534-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAZI",
        "first_name": "KELLY",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lee Swope, LPCC-S
• Diamond Tackett
• Annette Redden Talkers, PT
• Teresa Tallon, ARNP
• Melissa Ann Taylor
• Gregory Todd Teismann, MA
• Roger E Teller, MD
• Ten Ten Program Inc
• Melinda Terry
• Julie Ann Tewes, MSN, APRN

• Clinical Social Worker in Covington, KY
• Providers in Covington, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.