Monica L. Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6507 Issued in ME

Practice address

13 Railroad Square
Suite 1
Waterville, ME 04901-5255

Phone

(207) 692-6649

Fax

(207) 861-7012

NPI assigned

Mar 25, 2011

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

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Allies, Inc.

  • Case Management Agency
  • Bangor, ME
  • NPI 1902941396
  NPD (past)

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1821397191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQUARE",
            "address_2": "SUITE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015255",
            "telephone_number": "207-692-6649",
            "fax_number": "207-861-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 RAILROAD SQUARE",
            "address_2": "SUITE 1",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015255",
            "telephone_number": "207-692-6649",
            "fax_number": "207-861-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MONICA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821397191",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence A Kassman, MD
• Sakdhisapol Katanyutanon, M.D.
• Kathleen Ann Kelleher, P.T.
• Chandler Kelley
• Brandon Kelly
• Linda Keniston, MD
• Kennebec Eyecare PA
• Kennebec Medical Associates, P.a.
• Kennebec Medical Consultants LLC
• Kennebec Valley Community Action Program

• Clinical Social Worker in Waterville, ME
• Providers in Waterville, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.