Kelly Blakey, MSW
Individual provider Active NPI Social Worker · New River, AZ
NPI 1437201233 · NPPES record last updated Oct 27, 2010
Key facts
- NPI
- 1437201233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- BH-3651 (AZ)
- Practice address
- 42631 North 43Rd Drive
Kelly'S Adult Therapeutic Foster Home
New River, AZ 85087 - Phone
- (623) 670-4139
- Fax
- (623) 551-8185
- NPI assigned
- Jan 18, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BH-3651 | AZ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | BH-3651 | AZ | Yes |
Addresses
Primary practice location
42631 North 43Rd Drive
Kelly'S Adult Therapeutic Foster Home
New River, AZ 85087
Mailing address
P.O. Box 16906
Human Services Consultants
Phoenix, AZ 85011-6906
Phone (602) 524-9406
Other providers in New River, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.