Active NPI
Kelly Ann O Malley, MSW LICSW
- Social Worker
- Providence, RI
National Provider Identifier
1942396262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW01883
- Practice address
- 21 Peace St
Providence, RI 02907 - Phone
- (401) 456-4358
- NPI assigned
- Oct 5, 2006
- 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 | ISW01883 | RI | Primary |
Addresses
Primary practice location
21 Peace St
Providence, RI 02907
Mailing address
200 High Service Avenue
N Providence, RI 02904
Phone (401) 456-3649
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01883 | RI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1942396262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVENUE",
"city": "N PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-456-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 PEACE ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02907",
"telephone_number": "401-456-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O MALLEY",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "RI",
"license": "ISW01883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.