Active NPI
Cheri Ann Kelley, LCSW INTERN
- Social Worker
- Henderson, NV
National Provider Identifier
1326558495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2401-S
- Practice address
- 1001 Whitney Ranch Dr Ste 100
Henderson, NV 89014-3098 - Phone
- (702) 527-5252
- Fax
- (702) 527-5151
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2401-S | NV | Primary |
Addresses
Primary practice location
1001 Whitney Ranch Dr Ste 100
Henderson, NV 89014-3098
Mailing address
1001 Whitney Ranch Dr Ste 100
Henderson, NV 89014-3098
Phone (702) 527-5252
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2401-S | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506988800000",
"number": "1326558495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 WHITNEY RANCH DR STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890143098",
"telephone_number": "702-527-5252",
"fax_number": "702-527-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WHITNEY RANCH DR STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890143098",
"telephone_number": "702-527-5252",
"fax_number": "702-527-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "CHERI",
"middle_name": "ANN",
"credential": "LCSW INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2017-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "2401-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.