Marianne K Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149010534 Issued in IL

Practice address

22 Crissey Ave
Suite 200
Geneva, IL 60134-2351

Phone

(630) 232-7770

Fax

(630) 232-7773

NPI assigned

Aug 22, 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

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.

• Emma B Arellano Cabusao LTD

  • Psychiatry Physician
  • Geneva, IL
  • NPI 1679768907
  NPD (past)
• Intermission Therapies, LTD.

  • Clinical Social Worker
  • Geneva, IL
  • NPI 1124125752
  NPD (past)
• Psychcare Associates P.C.

  • Clinical Psychologist
  • Aurora, IL
  • NPI 1639233190
  NPD (past)
• Jain Counseling Services Inc.

  • Clinical Social Worker
  • Valparaiso, IN
  • NPI 1730639980
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1740396522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CRISSEY AVE",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342351",
            "telephone_number": "630-232-7770",
            "fax_number": "630-232-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CRISSEY AVE",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342351",
            "telephone_number": "630-232-7770",
            "fax_number": "630-232-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARIANNE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Keen, M.D.
• John A Kefer, M.D.
• Jaclyn Keller
• Christopher Kelly, PT
• Debra A Kelly, OTR
• Sarah Jean Kendra, LCSW
• Raelene D Kennedy Kim, MD
• Kenneth P. TRCH, DDS, P.C.
• Kelly Kenney-Fisher, OTR/L
• Kevin Patrick Kern, DO

• Clinical Social Worker in Geneva, IL
• Providers in Geneva, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.