Active NPI
Cindy Kelly, LMSW
- Social Worker
- Mayetta, KS
National Provider Identifier
1699042010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW 3862
- Practice address
- 11400 158 Road
Mayetta, KS 66509 - Phone
- (785) 966-8200
- Fax
- (785) 966-8393
- NPI assigned
- Nov 30, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW 3862 | KS | Primary |
Addresses
Primary practice location
11400 158 Road
Mayetta, KS 66509
Mailing address
11400 158TH Rd
P.O. Box 249
Mayetta, KS 66509-8866
Phone (785) 966-8200
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 |
|---|---|---|---|
| LMSW 3862 | KS | MD | Social Worker |
| 3862 | KS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418169600000",
"number": "1699042010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 158TH RD",
"address_2": "P.O. BOX 249",
"city": "MAYETTA",
"state": "KS",
"postal_code": "665098866",
"telephone_number": "785-966-8200",
"fax_number": "785-966-8393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11400 158 ROAD",
"city": "MAYETTA",
"state": "KS",
"postal_code": "66509",
"telephone_number": "785-966-8200",
"fax_number": "785-966-8393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "CINDY",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2014-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "LMSW 3862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayetta, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.