Sharie Darlene Kelley, CSWA, CADC I

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A5246 Issued in OR

Practice address

331 SE 2ND St
Pendleton, OR 97801-2224

Phone

(541) 276-6207

Fax

(541) 276-4628

NPI assigned

Sep 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1871842062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SE 2ND ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012224",
            "telephone_number": "541-276-6207",
            "fax_number": "541-276-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SE 2ND ST",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012224",
            "telephone_number": "541-276-6207",
            "fax_number": "541-276-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SHARIE",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "CSWA, CADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A5246",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "13-11-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arian Kargar, DO
• Ramatou Kargbo, NP
• Myra Lynn Kauss, R.N.
• Daniel Wesley Kaylor, DDS
• Rebekkah Anne Kelley, MN, ARNP
• Elizabeth Kemp
• Kasara N Kennedy, CRM
• Michelle B Kennedy, CRM
• Ty Kennison
• Case H Ketting, MD

• Clinical Social Worker in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.