Kelly Meany, LMSW, LADC
Individual provider Active NPI Clinical Social Worker · Danen, CT
NPI 1497209167 · NPPES record last updated Sep 2, 2021
Key facts
- NPI
- 1497209167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 11495 (CT)
- Practice address
- 30 Old Kings Hwy Rd
Danen, CT 06820 - Phone
- (203) 984-1994
- Fax
- (703) 202-2209
- NPI assigned
- Aug 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098303 | NY | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awaken Mind Wellness | Multi-Specialty | Current | Accepting new patients |
| Darien Counseling and Coaching | Clinical | Current | Accepting new patients |
Locations
30 Old Kings Hwy S
Darien, CT 06820
Phone (203) 654-9094
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 1330 | CT | |
| Case Manager/Care Coordinator | 171M00000X | 098303 | NY | |
| Clinical Social Worker | 1041C0700X | 11495 | CT | Yes |
Addresses
Primary practice location
30 Old Kings Hwy Rd
Danen, CT 06820
Mailing address
30 Old Kings Hwy Rd
Danen, CT 06820
Phone (203) 984-1994
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.