Active NPI
Jennifer E Kelly
- Social Worker
- Georgetown, DE
National Provider Identifier
1902428592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- Q3-0000216
- Practice address
- 21748 Roth Ave
Georgetown, DE 19947-3239 - Phone
- (302) 994-2511
- NPI assigned
- May 18, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Q3-0000216 | DE | Primary |
Addresses
Primary practice location
21748 Roth Ave
Georgetown, DE 19947-3239
Mailing address
302 Pebble Dr
Camden, DE 19934-9670
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.kelly3@va.gov | Direct |
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 |
|---|---|---|---|
| Q3-0000216 | DE | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1902428592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 PEBBLE DR",
"city": "CAMDEN",
"state": "DE",
"postal_code": "199349670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21748 ROTH AVE",
"city": "GEORGETOWN",
"state": "DE",
"postal_code": "199473239",
"telephone_number": "302-994-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "JENNIFER",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DE",
"license": "Q3-0000216",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.kelly3@va.gov",
"affiliation": "N",
"endpointDescription": "work email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "21748 Roth Ave",
"city": "Georgetown",
"state": "DE",
"country_code": "US",
"postal_code": "199473239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Georgetown, DE
- Joseph Francis Karnish, D. O.
- Katherine Rogers, LCSW, LLC
- Kathleen McCormick, LCSW, LLC
- Anastacia Keenan, CPNP-PC
- Kianna Nicole Kelley
- Morgan Kelly, DMD
- Stacey A Kemp, WHNP
- Kristin Kendzierski, MS
- Kent County Counseling Services (Kent Sussex Counseling Services)
- Kent County Counseling Services (Kent Sussex Counseling Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.