Individual provider Active NPI

Stephanie Lianee Kelley, LCSW-C

  • Clinical Social Worker
  • Rockville, MD
National Provider Identifier
1770011744
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22338 Issued in MD
Practice address
7300 Calhoun PL
Rockville, MD 20855-2790
Phone
(240) 777-1430
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 22338 MD
Clinical Social Worker 1041C0700X 22338 MD Primary

Addresses

Primary practice location

7300 Calhoun PL
Rockville, MD 20855-2790

Mailing address

7300 Calhoun PL
Suite 600
Rockville, MD 21885
Phone (240) 777-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22338MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government Current Accepting new patients

Locations

401 Hungerford Dr
Fl 6
Rockville, MD 20850

Interoperability endpoints

  • Direct secure messaging: stephanie.kelley.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1770011744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 CALHOUN PL",
            "address_2": "SUITE 600",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "21885",
            "telephone_number": "240-777-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CALHOUN PL",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552790",
            "telephone_number": "240-777-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "STEPHANIE",
        "middle_name": "LIANEE",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "22338",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.