Kelly Duncan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2106105 Issued in OH

Practice address

149 Mercy Blvd
Mount Orab, OH 45154-0296

Phone

(937) 712-3121

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Phoenix Center, Inc.

  dba TPC Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ironton, OH
  • NPI 1225670813

  Single Specialty

  NPD
• Phoenix Center, Inc.

  dba TPC Wellness

  • General Practice Physician
  • Ironton, OH
  • NPI 1366379075

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1235854753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MERCY BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451540296",
            "telephone_number": "937-712-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MERCY BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451540296",
            "telephone_number": "937-712-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2106105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kduncan@thephoenixcenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "149 Mercy Blvd",
            "city": "Mount Orab",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451540296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tonya Doss
• Michael Doyle, LPCC, LICDC, LSW
• Wendy Ellen Driskill, INDEPENDANT PROVIDER
• Zane Driskill
• Sandra Faye Dumford
• Kadrea Dyer
• Eastgate Physical Therapy Limited Partnership (Summit Physical Therapy)
• Eastgate Physical Therapy Limited Partnership (Summit Physical Therapy)
• Jessica K Eckler
• April Egbert, MSN, ED, APRN,FNP-C

• Clinical Social Worker in Mount Orab, OH
• Providers in Mount Orab, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.