Heather L Kelly, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-0009673 Issued in OH

Practice address

60 W Columbus St
Pickerington, OH 43147-1256

Phone

(614) 837-0063

Fax

(614) 837-0112

NPI assigned

Jul 18, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kirksey Counseling and Behavioral Health, LLC

  • Clinical Social Worker
  • Pickerington, OH
  • NPI 1174487268
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740209204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W COLUMBUS ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471256",
            "telephone_number": "614-837-0063",
            "fax_number": "614-837-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W COLUMBUS ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471256",
            "telephone_number": "614-837-0063",
            "fax_number": "614-837-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HEATHER",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0009673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip D Katz, DDS
• Kayland Partners, LLC
• Jocelyn Keaton, FNP-C
• Natalie L Kehl, LSW
• Keir Transportation LLC
• Nathan Kelly
• Austin Kendrick, PHARMD
• Ta'Neca Kendrick
• Sterling Anthony Kerr
• Jordan Andrew Kerscher, DPT

• Clinical Social Worker in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.