Kathleen Adelaide Shelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014047 Issued in PA

Practice address

1330 W 26TH St
Erie, PA 16508-1402

Phone

(814) 451-2283

NPI assigned

Dec 13, 2006

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

Other names 1

• Miss Kathleen Adelaide Shelly Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.shelly.p6@direct.adagiohealth.nextgenshare.com

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.

• Adagio Health Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Aliquippa, PA
  • NPI 1295826022
  Medicare reassignment NPD
• Allegheny Clinic

  • Family Medicine Physician
  • Bethel Park, PA
  • NPI 1073081493
  Medicare reassignment NPD
• Adagio Health Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Butler, PA
  • NPI 1205927530
  NPD
• Adagio Health Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Pittsburgh, PA
  • NPI 1487877023
  NPD
• Allegheny Clinic

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1154321560

  Clinical

  NPD
• Allegheny Clinic

  • Primary Care Clinic/Center
  • Pittsburgh, PA
  • NPI 1215752548
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1679634448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081402",
            "telephone_number": "814-459-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081402",
            "telephone_number": "814-451-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLY",
        "first_name": "KATHLEEN",
        "middle_name": "ADELAIDE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.shelly@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SHELLY",
            "middle_name": "ADELAIDE",
            "prefix": "MISS",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rosemarie Ann Shaw, DMD
• Hisham M. Shawish, M.D.
• Felicia Sheesley, DO, MMS
• Joshua Abraham Shekhtman, MD
• Jodie L Sheldon, LPN
• Jessica Ann Shepherd, B.S.
• Karen Sheppard-Nene, M.A., CCC-SLP
• Richard A Sheppeck, M.D.
• Navneet Shergill, DPT
• Rochelle Sheridan

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.