Individual provider Active NPI

Arleen Grace Kelly, LSW

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1316211832
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW-010473-L Issued in PA
Practice address
8235 Ohio River Blvd
Pittsburgh, PA 15202-1454
Phone
(412) 766-4030
Fax
(412) 766-5434
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW-010473-L PA Primary

Addresses

Primary practice location

8235 Ohio River Blvd
Pittsburgh, PA 15202-1454

Mailing address

8235 Ohio River Blvd
Pittsburgh, PA 15202-1454
Phone (412) 766-4030

Other identifiers 1

IdentifierTypeStateIssuer
SW-010473-LOtherPASOCIAL WORK LICENSE

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW-010473-LPAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1316211832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 OHIO RIVER BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152021454",
            "telephone_number": "412-766-4030",
            "fax_number": "412-766-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 OHIO RIVER BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152021454",
            "telephone_number": "412-766-4030",
            "fax_number": "412-766-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ARLEEN",
        "middle_name": "GRACE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW-010473-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE",
            "identifier": "SW-010473-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.