Kelley Calhoun, MSSW, CSW

Individual provider Active NPI Social Worker · Campbellsville, KY

NPI 1306595038 · NPPES record last updated Mar 21, 2022

Key facts

NPI
1306595038
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
256621 (KY)
Practice address
102 Winston Way Ste 3
Campbellsville, KY 42718-4991
Phone
(270) 465-0078
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
256621KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Professional Counseling, LLC Social Worker Current
since Mar 27, 2022
Accepting new patients
Kimberly Gambino LLC Current
since Mar 19, 2023
Accepting new patients

Locations

102 Winston Way
Ste 3
Campbellsville, KY 42718
Phone (270) 403-0560

103 E South St
Munfordville, KY 42765
Phone (270) 524-7939

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 256621 KY Yes

Addresses

Primary practice location

102 Winston Way Ste 3
Campbellsville, KY 42718-4991

Mailing address

103 E South St
Munfordville, KY 42765-9023
Phone (270) 696-3181

Other providers in Campbellsville, KY

All providers in Campbellsville, KY · Social Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.