Kelly Vermeeren-Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW021632 Issued in PA

Practice address

65 Bryden St
Pittston, PA 18640-3450

Phone

(570) 225-9229

NPI assigned

Aug 25, 2020

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

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

KGS CounselingGroup PAC ID 4082130448, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• KGS Counseling

  • Mental Health Counselor
  • Clarks Summit, PA
  • NPI 1760206957
  Medicare reassignment Care Compare group NPD Authorized official
• Dignity Inc

  • Clinical Social Worker
  • Pittston, PA
  • NPI 1053994293
  Medicare reassignment NPD

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1376156844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E GRANT ST",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471917",
            "telephone_number": "570-851-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BRYDEN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403450",
            "telephone_number": "570-225-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEEREN-SMITH",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umh PA Corp.
• Umh PA Corp.
• Genesi Valdez Colon
• Kristy Lee Varunan, RBT
• Ashley Velasquez, MA, LAPC, NCC, CAADC
• Virunga Home Care Agency, LLC
• Vision Innovation Centers of Pennsylvania LLC
• Michael Joseph Vitale, PHD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Clinical Social Worker in Pittston, PA
• Providers in Pittston, 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 Mar 3, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.