Kelly Marie Eledge, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2020028052 Issued in MO

Practice address

6750 Antioch Rd Ste 210
Overland Park, KS 66204-1260

Phone

(888) 637-3938

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Medicare enrollment (NPD)

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.

• Kelly Eledge LCSW LLC

  • Clinical Social Worker
  • Kansas City, MO
  • NPI 1093659773
  NPD Authorized official
• Exft, LLC

  • Marriage & Family Therapist
  • Overland Park, KS
  • NPI 1376097246
  Medicare reassignment
• Youth Bridge

  • Case Management Agency
  • Centerton, AR
  • NPI 1679961882
  NPD (past)

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1386809218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 ANTIOCH RD STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041260",
            "telephone_number": "888-637-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 ANTIOCH RD STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662041260",
            "telephone_number": "888-637-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEDGE",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7268-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020028052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmed Abdelmajeed Elballat, M.D.
• Alaa A Elbendary, M.D.
• Teresa Ann Elder, D.C.
• David Ryan Eldridge, LPC
• Heather Eldridge, O.T.
• Elevate Health LLC
• Elevate Holdings LLC
• Elevate Hospice, LLC
• Elevate Infusion LLC
• Elevate Pelvic Health & Wellness

• Clinical Social Worker in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.