Mirarchi & Kelly LCSW PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIRARCHI & KELLY LCSW PA

Practice address

704 Linwood Ave
Bel Air, MD 21014-4447

Phone

(410) 322-8535

NPI assigned

Feb 26, 2007

Last updated

Feb 21, 2023By 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

Kathleen Ruth Kelly, LCSW-CNPI 1164559068

Title

President

Phone

(410) 322-8535

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.

• Kathleen Ruth Kelly, LCSW C

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1164559068
  Authorized official Same address or phone

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1750417267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LINWOOD AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144447",
            "telephone_number": "410-322-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LINWOOD AVE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144447",
            "telephone_number": "410-322-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRARCHI & KELLY LCSW PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-322-8535",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mink, MS, LCPC, NCC
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• Elizabeth Miranda, CRNP
• Mark Vikas Mishra, M.D.
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• MNR Industries, LLC (Children's Urgent Care)
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• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.