Active NPI
Kelly Kerrigan, LMSW
- Clinical Social Worker
- Tempe, AZ
National Provider Identifier
1366117913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-18412
- Practice address
- 2111 E Baseline Rd Ste C3
Tempe, AZ 85283-1521 - Phone
- (480) 233-7529
- Fax
- (480) 233-7529
- NPI assigned
- Aug 14, 2021
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW-18412 | AZ | Primary |
Addresses
Primary practice location
2111 E Baseline Rd Ste C3
Tempe, AZ 85283-1521
Mailing address
2111 E Baseline Rd Ste C3
Tempe, AZ 85283-1521
Phone (480) 233-7529
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 |
|---|---|---|---|
| LMSW-18412 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Well Counseling, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628899200000",
"number": "1366117913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 E BASELINE RD STE C3",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831521",
"telephone_number": "480-233-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 E BASELINE RD STE C3",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831521",
"telephone_number": "480-233-7529",
"fax_number": "480-233-7529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRIGAN",
"first_name": "KELLY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-14",
"last_updated": "2021-08-14",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW-18412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.