Active NPI
Kellie Lee Dunn, LMSW
- Social Worker
- Utica, NY
National Provider Identifier
1336639038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 098926-1
- Practice address
- 2129 Caroline St
Utica, NY 13502-3666 - Phone
- (315) 527-2548
- NPI assigned
- May 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 098926-1 | NY | Primary |
Addresses
Primary practice location
2129 Caroline St
Utica, NY 13502-3666
Mailing address
2129 Caroline St
Utica, NY 13502-3666
Phone (315) 527-2548
Other names 1
- Kellie Lee Carson
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 |
|---|---|---|---|
| 098926-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Center | Current | Accepting new patients | |
| The Neighborhood Center, Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Utica, NY
- NPI 1467859199
-
- Mental Health Counselor
- Utica, NY
- NPI 1811088719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1336639038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 CAROLINE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023666",
"telephone_number": "315-527-2548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 CAROLINE ST",
"city": "UTICA",
"state": "NY",
"postal_code": "135023666",
"telephone_number": "315-527-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KELLIE",
"middle_name": "LEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "098926-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLIE",
"last_name": "CARSON",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.