Kelley Jean Casey, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2274 Issued in KS

Practice address

2911 A W Grimes Blvd Ste 204
Pflugerville, TX 78660-5459

Phone

(512) 956-7793

NPI assigned

Oct 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2024 through Jan 30, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kelley Casey LLC

  • Community/Behavioral Health Agency
  • Pflugerville, TX
  • NPI 1629585989
  NPD Authorized official
• Nan L. Ambrosy, Arnp, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Manhattan, KS
  • NPI 1053522441
  NPD (past)
• Sandra J. McCoy, PH.D., P.a.

  • Clinical Psychologist
  • Manhattan, KS
  • NPI 1578529095
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1326358243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 204",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605459",
            "telephone_number": "512-956-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 A W GRIMES BLVD STE 204",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605459",
            "telephone_number": "512-956-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "KELLEY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LSCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carelog Health Support Services
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• Patrick Cason, PHARMD
• Cathy A Castillo, MD
• Cater-2-U-Home Health Care Services, LLC
• Raymond Matthew Causa, LMT
• Andrew T. Cavanagh, MD

• Clinical Social Worker in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.