Kelly Barrett, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009431 Issued in CT

Practice address

1011 Hope St Ste R
Stamford, CT 06907-2121

Phone

(203) 260-9677

NPI assigned

Mar 24, 2019

Sex

Female

Sole proprietor

Yes

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.

• Kelly Marie LLC

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1366905861

  Clinical

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2019.

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1326508441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 HOPE ST STE R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069072121",
            "telephone_number": "203-260-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HOPE ST STE R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069072121",
            "telephone_number": "203-260-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Bareiss, LCSW
• Hayley L. Barocas, DMD
• Alan Scott Barr, D.D.S.
• Morgan Barr, MD
• Yeidaliz Barreto-Cruz, MD
• Stacia Sherry-Ann Barrow
• Anne Bartelmo
• Tatiana Barton, DDS
• Samantha Basilone, MSW
• Steven M Baskin, PHD

• All providers in Stamford, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2019; 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.