Jaime Kelly, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

112798 Issued in NY

Practice address

460 S Fulton Ave
Lindenhurst, NY 11757-5456

Phone

(631) 708-7765

NPI assigned

Dec 13, 2021

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1659030047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 S FULTON AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575456",
            "telephone_number": "631-708-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S FULTON AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575456",
            "telephone_number": "631-708-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JAIME",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Katzman, MD
• Kseniya Kavanagh
• KDV Medical PC (Vora Medical Health)
• Amanda Kehoe
• Keith Hoerning Doctors Care (Doctor's Care)
• Patricia A Kelly, MD
• Key Medical (Mak Marketing)
• Akbar Khan, M.D.
• Durdana Khan
• Jonathan J Khodadadian, MD

• Social Worker in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.