Brittany Aimee Kelly, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW107552 Issued in CA

Practice address

1102 A St
PO Box 430
Tacoma, WA 98402-2622

Phone

(925) 519-3974

NPI assigned

Oct 2, 2013

Sex

Female

Sole proprietor

No

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  CA, Mental Health

  Medicare reassignment NPD
• Britt Kelly Counseling, PLLC

  • Clinical Social Worker
  • Lakewood, WA
  • NPI 1033070578

  Clinical

  NPD Authorized official
• Redwood Psychology Center, Inc

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1629196290
  NPD (past)
• Redwood Psychology Center, Inc.

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1902243330
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1275960551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 A ST",
            "address_2": "PO BOX 430",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022622",
            "telephone_number": "925-519-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A ST",
            "address_2": "PO BOX 430",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022622",
            "telephone_number": "925-519-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRITTANY",
        "middle_name": "AIMEE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SA61238917",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW107552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick Kellogg, D.C.
• Will Kellogg, MD
• Kelly a Blasko PHD LLC
• Denise Kelly-Ballweber, CCC
• Abigail Kelly, MD
• Dennis Allan Kelly, PH.D.
• Heidi Ann Kelly
• Ian Patrick Kelly, MD
• Jessica Kelly, MSW, LMSW
• Jessica Ellen Kelly, ARNP

• All providers in Tacoma, WA
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.