Active NPI
James M Kelly, PHD, LSW
- Social Worker
- Pittsburgh, PA
National Provider Identifier
1447530316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW010077L
- Practice address
- 3333 5TH Ave
Pittsburgh, PA 15213-3109 - Phone
- (412) 303-2506
- NPI assigned
- Aug 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW010077L | PA | Primary |
Addresses
Primary practice location
3333 5TH Ave
Pittsburgh, PA 15213-3109
Mailing address
3333 5TH Ave
Pittsburgh, PA 15213-3109
Phone (412) 303-2506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW010077L | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1447530316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 5TH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133109",
"telephone_number": "412-303-2506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 5TH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133109",
"telephone_number": "412-303-2506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD, LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW010077L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.