Kelley Machado, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005332 Issued in CT

Practice address

100 Bank St Ste 104
Seymour, CT 06483-2806

Phone

(203) 828-0704

Fax

(866) 649-9074

NPI assigned

Oct 14, 2015

Last updated

Oct 5, 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 CT

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, 2000

Medicare assignment

May accept Medicare assignment

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.

• Harvest Healthcare LLC

  • Clinical Social Worker
  • Avon, CT
  • NPI 1477712917
  Medicare reassignment NPD
• Serenita Wellness LLC

  • Clinical Social Worker
  • Seymour, CT
  • NPI 1568007474
  Medicare reassignment NPD
• Sunrise Psychological Services LLC

  • Psychologist
  • Prospect, CT
  • NPI 1699199869
  Medicare reassignment NPD
• Oliva Healing, LLC

  • Clinical Social Worker
  • New Britain, CT
  • NPI 1912726175
  NPD Authorized official
• Journey to Wellness Counseling, LLC

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1457968091
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1417328634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 STANLEY ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060513631",
            "telephone_number": "203-733-3504",
            "fax_number": "866-649-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BANK ST STE 104",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832806",
            "telephone_number": "203-828-0704",
            "fax_number": "866-649-9074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "334 Stanley St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060513631",
            "country_code": "US",
            "telephone_number": "203-828-0704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "KELLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet B Landry, DDS
• Ruth Knecht Linley, LMT
• Jaclyn Liposky, BCBA
• Looking Glass Therapy LLC
• M.J.a. Behavioral Health and Wellness
• Holly A Major, APRN
• Radhika Malhotra
• Kenneth Eli Mancher, M.D.
• Carly Mappa, BCBA
• MB Care P.C.

• Clinical Social Worker in Seymour, CT
• Providers in Seymour, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.