Heather Christine Kelly, LCSW, LPHA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1901 S 4TH St Ste 213
Effingham, IL 62401-4188

Phone

(217) 347-5880

Fax

(217) 347-5897

NPI assigned

May 1, 2018

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 names 1

• Ms. Heather Christine Hutti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olney, IL
  • NPI 1073051314
  NPD (past) Authorized official
• One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IL
  • NPI 1841539640
  NPD (past) Authorized official
• One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gurnee, IL
  • NPI 1013627694
  NPD
• One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Effingham, IL
  • NPI 1467782037
  NPD (past)

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1801384284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MONTGOMERY DR",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202430",
            "telephone_number": "217-549-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 4TH ST STE 213",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014188",
            "telephone_number": "217-347-5880",
            "fax_number": "217-347-5897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 N Water Tower Pl",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646295",
            "country_code": "US",
            "telephone_number": "618-242-8266",
            "fax_number": "618-242-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 E Main St",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "IL",
            "postal_code": "624502114",
            "country_code": "US",
            "telephone_number": "618-395-8656",
            "fax_number": "618-395-5014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "HEATHER",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LPHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HUTTI",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alex Kastl, DPT
• Trisha Katt
• Stephanie Kaufmann, LPN
• John D Kay, MD
• Sarah Lynn Keck, PT, DPT
• Allison Kemper
• Gregory Kemper
• Nicholas Kenny, RPH
• Kristine Keplar, RPH, PHARMD
• Christine Kerrigan

• Clinical Social Worker in Effingham, IL
• Providers in Effingham, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.