Catherine Louise Kelly, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

126577 Issued in PA

Practice address

8130 Adams Dr
Hummelstown, PA 17036-8623

Phone

(717) 967-8288

Fax

(717) 967-8291

NPI assigned

Oct 16, 2017

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

Other names 1

• Catherine Kelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cedar Valley Psychiatry, LLC

  • Psychiatry Physician
  • Harrisburg, PA
  • NPI 1114364478
  NPD (past)
• Clear Headed Therapy

  • Social Worker
  • Wormleysburg, PA
  • NPI 1407541543
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1740791920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 CARLISLE PIKE",
            "city": "NEW OXFORD",
            "state": "PA",
            "postal_code": "173509797",
            "telephone_number": "717-309-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ADAMS DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170368623",
            "telephone_number": "717-967-8288",
            "fax_number": "717-967-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CATHERINE",
        "middle_name": "LOUISE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "126577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "KELLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Julius
• K Optical, Inc.
• Kaaps Smiles PC
• Mary Elizabeth Karis, CRNP
• Amy Kelly, DPT
• Jennifer Kennedy, MOT OTR/L
• Jill Kathleen Kepner, CRNP
• Keystone Mobility Inc
• Keystone Service Systems
• Keystone Service Systems, Inc

• All providers in Hummelstown, PA
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.