Abra Pearl Kelson, MSW, LSWA-IC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC60486983 Issued in WA

Practice address

5301 Tieton Drive, Suite C
C/O Catholic Family & Child Service
Yakima, WA 98908-3478

Phone

(509) 965-7100

Fax

(509) 966-9750

NPI assigned

May 13, 2015

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northwest Medical Specialties Pharmacy

  • Clinic Pharmacy
  • Tacoma, WA
  • NPI 1053489062
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1356729107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 TIETON DRIVE, SUITE C",
            "address_2": "C/O CATHOLIC FAMILY & CHILD SERVICE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083478",
            "telephone_number": "509-965-7100",
            "fax_number": "509-966-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 TIETON DRIVE, SUITE C",
            "address_2": "C/O CATHOLIC FAMILY & CHILD SERVICE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083478",
            "telephone_number": "509-965-7100",
            "fax_number": "509-966-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSON",
        "first_name": "ABRA",
        "middle_name": "PEARL",
        "credential": "MSW, LSWA-IC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC60486983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Kelley
• Brenda Kelly, PHARM.D.
• Jennifer Scholz Kelly, LMP
• Megan M Kelly
• Michael Kelly
• Julianne Johnette Kemp
• Kellee Keniston
• Tracy Leeann Keniston, PA-C
• Barbara Kennedy, RN
• Jessica Lynn Kennedy, DDS

• Clinical Social Worker in Yakima, WA
• Providers in Yakima, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.