Amy Beth Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082077 Issued in NY

Practice address

2 Easterly Ave
Suite 1
Auburn, NY 13021-3778

Phone

(315) 679-4727

Fax

(315) 702-8300

NPI assigned

Jan 7, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Amy Beth Scholz Former name

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1841594645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ADAMS AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130215517",
            "telephone_number": "315-406-1981",
            "fax_number": "315-702-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EASTERLY AVE",
            "address_2": "SUITE 1",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213778",
            "telephone_number": "315-679-4727",
            "fax_number": "315-702-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SCHOLZ",
            "middle_name": "BETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Kegley, LMSW
• Jack E Keiser Jr., MD
• Brian P Kelley
• Maxine Corrine Kelley, RN
• Sharon Jo Kellogg, LCSW
• Brenda Kelly
• Brian J Kelly, PH.D.
• Judith Ellen Kennedy, LMSW
• Shelyagh Kennedy, RN,BSN,FPMHNP-BC
• Taylor Renae Kerr, RD, CDN

• Clinical Social Worker in Auburn, NY
• Providers in Auburn, 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 Oct 4, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.