Kimberly Kay Kelsey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

# 10056 Issued in AZ

Practice address

500 N. Highway 89
Prescott, AZ 86313

Phone

(180) 094-9100

Fax

(928) 776-6125

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790877165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 E WINDSONG LN",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047520",
            "telephone_number": "928-526-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N. HIGHWAY 89",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86313",
            "telephone_number": "180-094-9100",
            "fax_number": "928-776-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSEY",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "# 10056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith a Mackenzie DO PC (MacKenzie Dermatology)
• Brenda Kellar, OT
• Greg S Keller, M.D.
• Katherine Maurine Keller, L.C.S.W.
• Melissa Marie Kelly, RN
• Hai CHI Keng, M.D.
• Aileen Marie Kennedy, M.D.
• Laura Dee Kennedy, NMD
• Rovena R Kennedy, LDO
• Kenneth G. Lawlor, DO, PLLC

• Clinical Social Worker in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.