Active NPI
Lindsey Kelly, LCSW
- Clinical Social Worker
- Los Gatos, CA
National Provider Identifier
1851715296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 82284
- Practice address
- 276 Pine Wood LN
Los Gatos, CA 95032-1314 - Phone
- (812) 344-9130
- NPI assigned
- Feb 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 82284 | CA | Primary |
Addresses
Primary practice location
276 Pine Wood LN
Los Gatos, CA 95032-1314
Mailing address
276 Pine Wood LN
Los Gatos, CA 95032-1314
Phone (812) 344-9130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82284 | Other | CA | CA BOARD OF BEHAVIORAL SCIENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82284 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717200000000",
"number": "1851715296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 PINE WOOD LN",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321314",
"telephone_number": "812-344-9130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 PINE WOOD LN",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321314",
"telephone_number": "812-344-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "LINDSEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-05",
"last_updated": "2024-06-01",
"certification_date": "2024-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "82284",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BOARD OF BEHAVIORAL SCIENCE",
"identifier": "82284",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.