Christine Rachael Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023315 Issued in PA

Practice address

1 Northgate SQ Ste 200
Greensburg, PA 15601-1395

Phone

(412) 610-2221

NPI assigned

Mar 2, 2012

Last updated

Feb 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Philadelphia Health Action Inc.

  dba GPHA Woodland Ave. Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1205140902
  Medicare reassignment NPD
• Greater Philadelphia Health Action, Inc

  dba GPHA 4th Street Medical Suite

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1144274077
  NPD
• Greater Philadelphia Health Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1275151607
  NPD
• Loriann Fetter Counseling & Psychotherapy, LLC

  • Professional Counselor
  • Greensburg, PA
  • NPI 1922595453
  NPD

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1346514700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 STARBOARD VILLA APT 213",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015882",
            "telephone_number": "412-610-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHGATE SQ STE 200",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011395",
            "telephone_number": "412-610-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mellon Way",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156501197",
            "country_code": "US",
            "telephone_number": "724-537-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CHRISTINE",
        "middle_name": "RACHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023315",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Kelley
• Julia Kelley, CRNP
• Sarah Kelley, D.O.
• Kelly Lambie Counseling Services LLC
• Audra Kelly, RN
• Patrick J Kelly Jr., DC
• Cindy Kemerer
• David Joseph Kemerer, MA
• Kim Kemerer, DO
• Kathryne Hannah Kendrick, PA-C

• Clinical Social Worker in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.