Individual provider Active NPI

Stephanie Kelley

  • Social Worker
  • New Castle, PA
National Provider Identifier
1255039822
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW140024 Issued in PA
Practice address
115 E North St
New Castle, PA 16101-3705
Phone
(724) 656-6866
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW140024 PA Primary

Addresses

Primary practice location

115 E North St
New Castle, PA 16101-3705

Mailing address

350 N Main St
Butler, PA 16001-4921
Phone (724) 287-5604

Other practice location 1

350 N Main St
Butler, PA 16001-4921
Phone (724) 287-5604

Other practice location 2

76 Jefferson Ave
Sharon, PA 16146-3352
Phone (724) 982-4790

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
SW140024PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Services PastSince Feb 26, 2023 Accepting new patients
Psych-Med Associates Inc PastSince Feb 26, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vpsdocs/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1255039822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N MAIN ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014921",
            "telephone_number": "724-287-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E NORTH ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013705",
            "telephone_number": "724-656-6866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Main St",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014921",
            "country_code": "US",
            "telephone_number": "724-287-5604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "PA",
            "postal_code": "161463352",
            "country_code": "US",
            "telephone_number": "724-982-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW140024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.