Kelly Joanna Diley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015037 Issued in PA

Practice address

18201 Conneaut Lake Rd
Meadville, PA 16335-3757

Phone

(814) 333-5060

NPI assigned

Oct 18, 2012

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 PA

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, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Pathways Nwpa LLCGroup PAC ID 1759709363, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pathways Nwpa LLC

  • Clinical Social Worker
  • Edinboro, PA
  • NPI 1124647227
  Medicare reassignment Care Compare group NPD
• Fred Philip Gallo, PHD

  • Psychologist
  • Hermitage, PA
  • NPI 1629132279
  Medicare reassignment
• Gallo & Associates Psychological Services

  • Psychologist
  • Hermitage, PA
  • NPI 1093988172
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1497008270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353757",
            "telephone_number": "814-333-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEY",
        "first_name": "KELLY",
        "middle_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis M. Finton, DMD, PC
• Damian J Derlink, DMD
• Thomas Joseph Detelich Jr., RPH
• Larry Scott Dickson, MA
• Amy Michele Dietz, MS, LPC
• Mary Joyce Dillon, M.A
• Jessica Charlene Dimarco, PHARMD
• Doctors of Emergency Medicine of Illinois III, LLC
• Humberto Ramon Dorta, M.D.
• Melinda A Douglas, CRNP

• Clinical Social Worker in Meadville, PA
• Providers in Meadville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.