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Kelly Parkey, LCSW

Individual provider Active NPI School Social Worker · Clovis, NM

NPI 1881065233 · NPPES record last updated Feb 17, 2023

Key facts

NPI
1881065233
Entity type
Individual (NPI type 1)
Primary specialty
School Social Worker 1041S0200X
License
X-09151 (NM)
Practice address
1600 Sutter PL
Clovis, NM 88101-4611
Phone
(575) 769-4476
Fax
(575) 769-4541
NPI assigned
Oct 12, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
X-09151NMMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Educational Center #6 Past
since Feb 19, 2023		 Accepting new patients
Clovis Municipal Schools Past Accepting new patients
Regional Education Center Past
since Feb 19, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X X-09151 NM Yes

Addresses

Primary practice location

1600 Sutter PL
Clovis, NM 88101-4611

Mailing address

1500 S Avenue K # 9
Portales, NM 88130-7400
Phone (575) 562-4455

Other names

  • Kelly Fish Former name

Other providers in Clovis, NM

All providers in Clovis, NM · School Social Worker in New Mexico

Sources for this page

Verify at the official NPI Registry.