Kathleen Nancy Kelly, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1031092 Issued in MA

Practice address

384 County St
2ND Floor
New Bedford, MA 02740-4980

Phone

(888) 774-4635

NPI assigned

Dec 4, 2008

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

Other names 1

• Ms. Kathleen Nancy Kelly Professional name

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rha Behavioral Health NC LLCGroup PAC ID 4688948656, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pathways Counseling Services PLLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1184089658
  Medicare reassignment NPD Authorized official
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1700318680
  Medicare reassignment Care Compare group NPD
• Sandhills Intergrated Care, Inc.

  • Community/Behavioral Health Agency
  • North Myrtle Beach, SC
  • NPI 1548757123
  Medicare reassignment NPD
• Rha Behavioral Health NC LLC

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1164151080
  NPD
• Sandhills Intergrated Care, Inc.

  • Community/Behavioral Health Agency
  • Loris, SC
  • NPI 1174013684
  NPD
• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  NPD (past)
• South Bay Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)
• Grace Family Services Inc

  • Psychiatry Physician
  • North Myrtle Beach, SC
  • NPI 1003549759
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1679718688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 COUNTY ST",
            "address_2": "2ND FLOOR",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404980",
            "telephone_number": "888-774-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 COUNTY ST",
            "address_2": "2ND FLOOR",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404980",
            "telephone_number": "888-774-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KATHLEEN",
        "middle_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KELLY",
            "middle_name": "NANCY",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• George R Keezer, PARAPROFESSIONAL
• Andrew Leighton Keith
• Tracey Kelce, LMHC
• Lauren Melissa Kelley
• Mary Morris Kelley, MSW, LICSW
• Kathryn Kelly
• Juliet Esther Kemokai
• Kempton Dental LLC
• Kathleen Ann Keney, RN
• Kennedy Donovan

• Clinical Social Worker in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.