Teresa Mary Kelly

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

215999 Issued in MA

Practice address

24 Lyman St
Westborough, MA 01581-1482

Phone

(508) 475-9110

Fax

(508) 422-9730

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Teresa M. Kelly Professional name

Medicare fee-for-service enrollment

Enrolled in MA

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Castlebrook Counseling Services IncGroup PAC ID 3072829332, 6 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 and National Provider Directory roles.

• Castlebrook Counseling Services, Inc.

  • Clinical Social Worker
  • Westborough, MA
  • NPI 1982045860
  Medicare reassignment Care Compare group NPD
• The Bridge of Central Massachusetts, Inc.

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1740657527
  Medicare reassignment NPD
• The Bridge of Central Massachusetts, Inc

  • Foster Care Agency
  • Worcester, MA
  • NPI 1053746255
  NPD
• Shrewsbury Youth & Family Services

  • Community/Behavioral Health Agency
  • Shrewsbury, MA
  • NPI 1679808208
  NPD (past)
• Shrewsbury Youth and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Shrewsbury, MA
  • NPI 1518002716
  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1497084081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STARK ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030646223",
            "telephone_number": "774-258-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LYMAN ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811482",
            "telephone_number": "508-475-9110",
            "fax_number": "508-422-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TERESA",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "KELLY",
            "middle_name": "M.",
            "prefix": "MRS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah W Keeley, MS RD LDN
• Jennifer Rose Kelley, M.S.
• Wendy Sue Kelley
• Susan E Kellogg, PA
• Kelly Morency Physical Therapy, PLLC
• Rachel Louise Kennedy
• Kenstem Healthcare Staffing LLC
• Aliya Aziz Khan, M.D.
• Huma Khan, PHYSICIAN ASSISTANT
• Samina B Khan, MA, CCC-A

• Clinical Social Worker in Westborough, MA
• Providers in Westborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.