Kelly Gallagher, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098694 Issued in NY

Practice address

95 Glen Wild Rd Unit 101
Rock Hill, NY 12775-6722

Phone

(845) 428-7141

NPI assigned

Aug 3, 2020

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Be a Version of Yourself Mental Health Counseling, PLLC

  dba BAVOY Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Middletown, NY
  • NPI 1366097438
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1881204006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROFESSIONAL OFFICE OF KELLY A. GALLAGHER, LCSW",
            "address_2": "10 ALPINE DRIVE #1003",
            "city": "WOODRIDGE",
            "state": "NY",
            "postal_code": "12789",
            "telephone_number": "845-282-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GLEN WILD RD UNIT 101",
            "city": "ROCK HILL",
            "state": "NY",
            "postal_code": "127756722",
            "telephone_number": "845-428-7141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Professional Office of Kelly A. Gallagher, LCSW",
            "address_2": "10 Alpine Drive #1003",
            "address_purpose": "LOCATION",
            "city": "Woodridge",
            "state": "NY",
            "postal_code": "12789",
            "country_code": "US",
            "telephone_number": "845-282-9149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taisha Eley
• Bruce Alan Ellsweig, MD.
• Werner Escobar, DNP, FNP-BC
• Zoltan Fekete, MD, PHD
• Claudia Ann Finnegan, ANP
• Shannon Marie Genovese, LCSW
• Joseph W Giangiacomo, RPH
• Nytishia Shawan Gillmer, FNP
• Becky Heins, FNP
• Kate M. Ingber, PA-C

• Clinical Social Worker in Rock Hill, NY
• Providers in Rock Hill, 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 Jan 16, 2025; 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.