Ephraim Kelly

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1235 Spring Garden St
Philadelphia, PA 19123-3206

Phone

(215) 769-3561

Fax

(215) 769-3860

NPI assigned

May 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bebashi Transition to Hope

  • Case Management Agency
  • Philadelphia, PA
  • NPI 1487935805
  NPD (past)
• Bebashi Transition to Hope

  • Case Management Agency
  • Philadelphia, PA
  • NPI 1679282701
  NPD (past)

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1386134534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233206",
            "telephone_number": "215-769-3561",
            "fax_number": "215-769-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233206",
            "telephone_number": "215-769-3561",
            "fax_number": "215-769-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "EPHRAIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024869940001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Theresa Kelly, LPC
• Cecilia Clarke Kelly, M.D.
• Danielle Marie Kelly, DO
• Deborah S Kelly, MD
• Destineh Chanel Kelly
• Erin Anne Kelly, MSPT
• Erin Arlene Kelly, MD, MS
• Erin C. Kelly, D.O.
• Erin Marie Kelly, DO
• Jake L Kelly

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.