Susan Strauss Kelly, LSW, CCTP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW132510 Issued in PA

Practice address

1503 McDaniel Dr
West Chester, PA 19380-6671

Phone

(610) 213-2474

NPI assigned

Oct 31, 2015

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": "1446249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1831562784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ALDWYN LANE",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "19085",
            "telephone_number": "610-213-2474",
            "fax_number": "610-520-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 MCDANIEL DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806671",
            "telephone_number": "610-213-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Haverford Rd Ste G104",
            "address_purpose": "LOCATION",
            "city": "Haverford",
            "state": "PA",
            "postal_code": "190411139",
            "country_code": "US",
            "telephone_number": "610-213-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SUSAN",
        "middle_name": "STRAUSS",
        "name_prefix": "Ms.",
        "credential": "LSW, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-31",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa C Kelly, PA-C
• Marissa Kelly, CCC-SLP
• Moira Kelly
• Rebecca Kelly
• Sondra L. Kelly, RN, MSN, CNS
• Franklin Kelton, MD
• Alexandra Kemble
• Erin E. Kemm, MS PT
• Ken-Crest Services
• Azza Ezzel-Arab Kenawy, MD

• Social Worker in West Chester, PA
• Providers in West Chester, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.