Kelly Marie McCall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079951 Issued in NY

Practice address

2478 George Urban Blvd
Depew, NY 14043-2010

Phone

(716) 440-7165

NPI assigned

Sep 4, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly M McCall LCSW, PLLC

  • Clinical Social Worker
  • Depew, NY
  • NPI 1396292413
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1770731572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 GEORGE URBAN BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432010",
            "telephone_number": "716-440-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 GEORGE URBAN BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432010",
            "telephone_number": "716-440-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Martin, LMHC
• Amy Lynn Matteo, PT
• Brian Mattina-Chmiel, PHARMD
• Krista Marie Mau
• Tara J Maycumber
• Andrea Kristen McCarthy, LMT
• Nicole Marie McDonald, MS, OTR
• Ryan P McFadden, PHARMD
• Erin McGilvray, CASAC
• Ashley Anne McGregor, DNP

• Clinical Social Worker in Depew, NY
• Providers in Depew, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.