Kelly Elizabeth Felder, LISW-S

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.2203870-SUPV Issued in OH

Practice address

13330 Detroit Ave
Cleveland, OH 44107-2850

Phone

(216) 228-9550

NPI assigned

May 23, 2020

Last updated

Apr 30, 2024By the provider in NPPES

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 OH

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lets in Mental Health and Recovery LLCGroup PAC ID 0840728010, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lets in Mental Health & Recovery LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1194563908
  Medicare reassignment Care Compare group NPD
• Lets in Mental Health & Recovery LLC

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1033947650
  NPD

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1396368429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27060 OAKWOOD CIR APT 221M",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441383533",
            "telephone_number": "440-476-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441072850",
            "telephone_number": "216-228-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4387 W 150th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441351365",
            "country_code": "US",
            "telephone_number": "216-252-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDER",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2203870-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne M Felchlia, CRNA
• Christopher Felchlia, MD
• Crystal Jauntia Felder
• Delia Felder
• Jaelisa Felder, B.A
• Raneisha Ann Felder
• Ashley B Feldkamp, OTA
• Aliza Feldman, OTR/L
• Anne Debra Feldman, CNP
• Daniel Isaac Feldman

• Social Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.