Daniel Kelty, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S1200930 Issued in OH

Practice address

415 Lake Vista Dr
Zanesville, OH 43701-7552

Phone

(740) 319-1666

NPI assigned

Oct 7, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Wild Ohio Therapy Farm

  • Clinical Social Worker
  • Zanesville, OH
  • NPI 1104404920
  NPD

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1841693777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 LAKE VISTA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017552",
            "telephone_number": "740-319-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 LAKE VISTA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017552",
            "telephone_number": "740-319-1666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Cross Pointe Rd",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432306691",
            "country_code": "US",
            "telephone_number": "740-319-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELTY",
        "first_name": "DANIEL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1200930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kay Keller
• Shayla Keller
• James R Kelley, M.D.
• Gregory Kelso, M.D.
• Jacolyn Louise Kelso, R.N.
• Mary Kennedy-Smith
• Anita R Kennedy
• Brenda Sue Kennedy, CDCA
• Caitlyn Justine Kennedy, LSW, BSSW
• Jayna Kennedy, MSW, LSW

• Clinical Social Worker in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.