Thomas H. Kellner, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R057282-1 Issued in NY

Practice address

239 Golden Hill LN
Kingston, NY 12401-6441

Phone

(845) 883-9747

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Services, Inc.Group PAC ID 1658284542, 39 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Poughkeepsie, NY
  • NPI 1316939457

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1285704981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-895-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-883-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "THOMAS",
        "middle_name": "H.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057282-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE-LCSWR",
            "identifier": "R057282-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NE2441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mildred Kelder, RN
• Jodee Sue Keller, D.C.
• Michael C Keller, DPM
• Ruthanna Amy Kellerhouse, LCSW
• Mary Michael Kelley, PA-C
• Victoria E Kelly, RD, CDN
• Jamire Chanel Kempson, RN
• Raymond Patrick Kenny, M.D.
• Michele Rolens Kent, PH.D.
• Kenneth Bryan Keplinger Jr., MD

• Clinical Social Worker in Kingston, NY
• Providers in Kingston, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.