Deborah Lynn Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6929 Issued in TN

Practice address

1173 Union Ave Apt 409
Memphis, TN 38104-6673

Phone

(901) 232-6300

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1578245122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 UNION AVE APT 409",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046673",
            "telephone_number": "901-232-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 UNION AVE APT 409",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046673",
            "telephone_number": "901-232-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Kellum, DPH
• Thomas Purnell Kelly III, D.PH.
• Alexis Sierra Lynn Kelly, MS, LPC/MHSP
• Annie Kelly
• Deborah G Kelly, DPH
• Hallie R Kelly, NP
• Jayna Kelly, MD
• Linda Faye Kelly, FNP
• Sandra Lynn Kelly, DTR
• Willie Faye Kelly, NP

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.