Nancy Kelly, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11353 Issued in CT

Practice address

1007 N Main St
Dayville, CT 06241-2170

Phone

(860) 774-2020

Fax

(860) 774-0826

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Parham Counseling Services, LLCGroup PAC ID 9638657281, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parham Counseling Services, LLC

  • Mental Health Counselor
  • Norwich, CT
  • NPI 1750893905
  Medicare reassignment Care Compare group
• Christina Renee LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodstock, CT
  • NPI 1366322398
  NPD

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1942895107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 RUBY RD APT 40",
            "city": "WILLINGTON",
            "state": "CT",
            "postal_code": "062791336",
            "telephone_number": "860-869-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 N MAIN ST",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062412170",
            "telephone_number": "860-774-2020",
            "fax_number": "860-774-0826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Ruby Rd Apt 40",
            "address_purpose": "LOCATION",
            "city": "Willington",
            "state": "CT",
            "postal_code": "062791336",
            "country_code": "US",
            "telephone_number": "860-869-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Roy Karl Johnson, MD
• Lauren Johnston, LMT
• Mena Johny
• Joseph Botta MD & Associates LLC
• Tera Juszczyk, MSW
• Marybeth L Kerr, MSW
• Killingly Board of Ed
• Killingly Dental Care, LLC
• Killingly Kids Dentist
• Killingly Medical Center LLC

• Clinical Social Worker in Dayville, CT
• Providers in Dayville, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.

Verify at the official NPI Registry.