Individual provider Active NPI

David Baker Kells, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1245573690
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117436 Issued in MA
Practice address
25 Bank Row St
Third Floor
Greenfield, MA 01301-3599
Phone
(413) 222-0647
NPI assigned
Apr 4, 2013
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117436 MA Primary
Clinical Social Worker 1041C0700X 089.0066223 VT

Addresses

Primary practice location

25 Bank Row St
Third Floor
Greenfield, MA 01301-3599

Mailing address

115 Birch St
Greenfield, MA 01301-1440
Phone (413) 222-0647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
089.0066223VTMDClinical Social Worker
117436MAMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1245573690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BIRCH ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011440",
            "telephone_number": "413-222-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BANK ROW ST",
            "address_2": "THIRD FLOOR",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013599",
            "telephone_number": "413-222-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLS",
        "first_name": "DAVID",
        "middle_name": "BAKER",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117436",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0066223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.