Kelly E Rao, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW0000010457 Issued in TN

Practice address

8305 Daisy Dallas Rd
Hixson, TN 37343-1453

Phone

(423) 486-0774

Fax

(423) 405-6346

NPI assigned

Feb 11, 2020

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 TN

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Elu, LLCGroup PAC ID 7719228451, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Elu LLC

  • Mental Health Counselor
  • Chattanooga, TN
  • NPI 1396222394
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1265064877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 40TH ST UNIT 2225",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091379",
            "telephone_number": "877-358-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 DAISY DALLAS RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373431453",
            "telephone_number": "423-486-0774",
            "fax_number": "423-405-6346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 Spring Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374123918",
            "country_code": "US",
            "telephone_number": "423-486-0774",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAO",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "LSW0000010457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrie J Raines, DDS
• Ramyadevi Ramamoorthi, PT, DPT
• William Brent Ramsey, D.C.
• Marcus Kenneth Randall, D.M.D.
• Brandalyn Nicole Randolph, NP
• Courtney Jean Rebello, PHARMD, R.PH.
• Joy Gray Reed, FNP-C
• Brigid Sheridan Reilly, PA-C
• Nancy Reinhart, DC
• William Michael Reisman, M.D.

• Social Worker in Hixson, TN
• Providers in Hixson, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.