Kelsey Marie Harlow

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1800510-TRNE Issued in OH

Practice address

2052 Princeton Rd
Fairfield Township, OH 45011-4746

Phone

(513) 863-6383

Fax

(513) 863-3772

NPI assigned

Aug 30, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5507/brand/1/csg/1/fhir/r4

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.

• Modern Psychiatry & Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Hamilton, OH
  • NPI 1699251553
  NPD

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1578045274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 PRINCETON RD",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450114746",
            "telephone_number": "513-863-6383",
            "fax_number": "513-863-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 PRINCETON RD",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450114746",
            "telephone_number": "513-863-6383",
            "fax_number": "513-863-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLOW",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1800510-TRNE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janique Hall
• Husam Hamed, M.D.
• Hamilton Nursing
• Hamilton SNF Opco LLC
• Madyson Faye Harbaum
• Rebecca Lyn Harness
• Annette Marie Harris
• Mandy L Hart
• Jessica Hartigan
• Casey Hawkins

• All providers in Fairfield Township, OH
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.