Kelly Travers Sansone, MSW, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW20730 Issued in FL

Practice address

5801 21St Ave W
Bradenton, FL 34209-5641

Phone

(941) 778-4888

NPI assigned

Feb 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1255723748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095641",
            "telephone_number": "941-778-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095641",
            "telephone_number": "941-778-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 W Buena Ave",
            "address_2": "#1W",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606132222",
            "country_code": "US",
            "telephone_number": "312-771-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANSONE",
        "first_name": "KELLY",
        "middle_name": "TRAVERS",
        "name_prefix": "Ms.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.007626",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luisa Yesenia Sanchez, PT
• Kimberly A Sand, ARNP
• Teresa Sanders
• Leah Denise Sandridge, LCSW
• Kristin Sandusky
• Alvin Rafael Santa-Ana
• Nicole Mari Santana Rodriguez, DC
• Diana Beatriz Santiago Alvarado
• Jonas Justin Tizon Santos, DO
• Karla Santos, MD

• Clinical Social Worker in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.