Individual provider Active NPI

Darlene Y Kelly, LCSW

  • Clinical Social Worker
  • Baton Rouge, LA
National Provider Identifier
1568627297
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4730 Issued in LA
Practice address
8414 Bluebonnet Blvd Ste 110
Baton Rouge, LA 70810-2840
Phone
(225) 978-7897
NPI assigned
Jul 22, 2008
Last updated
Jul 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4730 LA Primary

Addresses

Primary practice location

8414 Bluebonnet Blvd Ste 110
Baton Rouge, LA 70810-2840

Mailing address

8414 Bluebonnet Blvd Ste 110
Baton Rouge, LA 70810-2840
Phone (225) 978-7897

Other identifiers 1

IdentifierTypeStateIssuer
5CS02OtherLALCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4730LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Social Services LLC Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1568627297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 BLUEBONNET BLVD STE 110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102840",
            "telephone_number": "225-978-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 BLUEBONNET BLVD STE 110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102840",
            "telephone_number": "225-978-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DARLENE",
        "middle_name": "Y",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "5CS02",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.