Active NPI
Tyesha Dantrell Kelley, LMSW
- Social Worker
- New Orleans, LA
National Provider Identifier
1356619951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9866
- Practice address
- 1035 Calhoun St
New Orleans, LA 70118-5913 - Phone
- (504) 308-3501
- NPI assigned
- Dec 9, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9866 | LA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 9866 | LA | Primary |
Addresses
Primary practice location
1035 Calhoun St
New Orleans, LA 70118-5913
Mailing address
2626 Canal St
Suite 201
New Orleans, LA 70119-6410
Phone (504) 525-2366
Other practice location 1
2626 Canal St
suite 201
New Orleans, LA 70119
Phone (504) 525-2366 ext. 313
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 |
|---|---|---|---|
| 9866 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1356619951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 CANAL ST",
"address_2": "SUITE 201",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196410",
"telephone_number": "504-525-2366",
"fax_number": "504-525-7525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 CALHOUN ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185913",
"telephone_number": "504-308-3501"
}
],
"practiceLocations": [
{
"address_1": "2626 Canal St",
"address_2": "suite 201",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "70119",
"country_code": "US",
"telephone_number": "504-525-2366 x313",
"fax_number": "504-525-7525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "TYESHA",
"middle_name": "DANTRELL",
"name_prefix": "Miss",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "9866",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "9866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.