Active NPI
Ashley Marie Kelley, LCSW
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1669710281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5801
- Practice address
- 3010 S Harvard Ave Ste 110
Tulsa, OK 74114 - Phone
- (918) 417-2025
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5801 | OK | Primary |
Addresses
Primary practice location
3010 S Harvard Ave Ste 110
Tulsa, OK 74114
Mailing address
13698 N 59TH East Ave
Collinsville, OK 74021-5755
Phone (918) 409-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5801 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1669710281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13698 N 59TH EAST AVE",
"city": "COLLINSVILLE",
"state": "OK",
"postal_code": "740215755",
"telephone_number": "918-409-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 S HARVARD AVE STE 110",
"city": "TULSA",
"state": "OK",
"postal_code": "74114",
"telephone_number": "918-417-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "5801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.