Kelley Therapeutic Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003314 Issued in GA

Legal business name

KELLEY THERAPEUTIC SERVICES LLC

Practice address

5400 Laurel Springs Pkwy
Suite 1101
Suwanee, GA 30024-6056

Phone

(678) 908-5543

NPI assigned

May 18, 2007

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Kelley, LCSWNPI 1750454328

Title

President

Phone

(678) 908-5543

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Danielle Kelley, LCSW

  • Clinical Social Worker
  • Suwanee, GA
  • NPI 1750454328
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1700094349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 1101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "678-908-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 1101",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "678-908-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-908-5543",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine K. Yi, DDS, PC
• Julie Kay Kattmann, MSW
• Whitney Leigh Keane, BS, RBT
• Eurina Y Kee, RN, MS, CRRN
• Nyce Keiyoro
• Lisa Danielle Kelley, LCSW
• Caroline Kelliny, PA
• Jena Kelly, OTR/L
• Lauren K Kelly, MA, LMFT
• Laprinces Elaine Kennard, BCBA, LBA

• Clinical Social Worker in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.