Active NPI
Paula A Kelly-Keller, MSW, LSW
- Social Worker
- Pittsburgh, PA
National Provider Identifier
1942516620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW128016
- Practice address
- 4760 Centre Ave
Pittsburgh, PA 15213-1704 - Phone
- (412) 687-8017
- Fax
- (412) 687-3315
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | SW128016 | PA | Primary |
Addresses
Primary practice location
4760 Centre Ave
Pittsburgh, PA 15213-1704
Mailing address
1735 El Paso St
Pittsburgh, PA 15206-1141
Phone (412) 361-5633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230118002403 | PA | Practitioner - Clinical Social Worker | 3678951837 | Practice locations: Pittsburgh, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Pittsburgh, PA 15206
Phone (412) 480-9484
1735 El Paso St
Pittsburgh, PA 15206-1141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW128016 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1942516620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 EL PASO ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152061141",
"telephone_number": "412-361-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 CENTRE AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152131704",
"telephone_number": "412-687-8017",
"fax_number": "412-687-3315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY-KELLER",
"first_name": "PAULA",
"middle_name": "A",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW128016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.