Lisa Danielle Kelley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003314 Issued in GA

Practice address

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

Phone

(678) 908-5543

NPI assigned

Nov 15, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  GA

  Medicare reassignment Care Compare group NPD
• Kelley Therapeutic Services LLC

  • Clinical Social Worker
  • Suwanee, GA
  • NPI 1700094349
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1750454328",
    "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": {
        "last_name": "KELLEY",
        "first_name": "LISA",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "003314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220143218A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Kay Kattmann, MSW
• Whitney Leigh Keane, BS, RBT
• Eurina Y Kee, RN, MS, CRRN
• Nyce Keiyoro
• Kelley Therapeutic Services LLC
• Caroline Kelliny, PA
• Jena Kelly, OTR/L
• Lauren K Kelly, MA, LMFT
• Laprinces Elaine Kennard, BCBA, LBA
• Kurtis Kepfer, PT

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.