Individual provider Active NPI

Kelsey Iannitello, CSW

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1285205674
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
259836 Issued in KY
Practice address
121 E 2ND St Ste 401
Owensboro, KY 42303-4125
Phone
(270) 240-1785
Fax
(270) 240-1861
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 259836 KY Primary

Addresses

Primary practice location

121 E 2ND St Ste 401
Owensboro, KY 42303-4125

Mailing address

121 E 2ND St Ste 401
Owensboro, KY 42303-4125
Phone (270) 240-1785

Other names 1

  • Kelsey Melton Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20250324000142 KY Practitioner - Mental Health Counselor 2062934748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Truenorth Treatment Center LLCGroup PAC ID 5294068813, 8 clinicians

Practice addresses (Care Compare)

114 S 2ND St
Central City, KY 42330-1506
Phone (270) 931-5018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Truenorth Treatment Center, LLC Clinical CurrentSince Jan 12, 2025 Accepting new patients

Locations

121 E 2nd St
Ste 401
Owensboro, KY 42303
Phone (270) 240-1785

Organizations & group practices 1

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1285205674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 2ND ST STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034125",
            "telephone_number": "270-240-1785",
            "fax_number": "270-240-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 2ND ST STE 401",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034125",
            "telephone_number": "270-240-1785",
            "fax_number": "270-240-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNITELLO",
        "first_name": "KELSEY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "259836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3919 Benttree Dr Apt A",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423018612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MELTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.