Joy Kelleher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003073 Issued in GA

Practice address

431 Green St NW
Gainesville, GA 30501-3349

Phone

(470) 410-8861

NPI assigned

Sep 26, 2016

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 Nov 19, 2024 through Nov 19, 2026

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.

• Thrive Gainesville, LLC

  • Clinical Social Worker
  • Gainesville, GA
  • NPI 1689206823
  NPD Authorized official

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1326597840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013349",
            "telephone_number": "470-410-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 GREEN ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013349",
            "telephone_number": "470-410-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "JOY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary E. Kee, PAAA
• Kellie Renee Keeney, DPT
• Kegler and Associates Family Dentistry
• Mary Watson Keith, M.D.
• Thomas L Keith, MD
• Jessica Tench Keller, PA
• Scott Asbury Kellermeyer
• Clay Barton Kelley, AAC
• Michele Poole Kelly, CNM
• Paul T Kelly, ARNP

• Clinical Social Worker in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.