Gay S Kelso, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

37181 Issued in TX

Practice address

5751 Park Vista Circle
Suite 101
Keller, TX 76244-5607

Phone

(817) 812-2880

Fax

(817) 812-3096

NPI assigned

May 21, 2007

Last updated

Jun 4, 2015By the provider in NPPES

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

Other names 1

• Mrs. Gay S Kelso Other name

Medicare fee-for-service enrollment

Enrolled in TX

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Logos Services LLCGroup PAC ID 3476804519, 9 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Logos Services LLC

  • Community/Behavioral Health Agency
  • Keller, TX
  • NPI 1881852952
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1962611459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 PARK VISTA CIRCLE",
            "address_2": "SUITE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762445607",
            "telephone_number": "817-812-2880",
            "fax_number": "817-812-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 PARK VISTA CIRCLE",
            "address_2": "SUITE 101",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762445607",
            "telephone_number": "817-812-2880",
            "fax_number": "817-812-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "GAY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "37181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAY",
            "last_name": "KELSO",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Keller Pediatric Dentistry
• Keller Smiles LLC
• Keller SNF LLC (Heritage House At Keller Rehab & Nursing)
• Keller Town Dental
• Brandon Kelley, RD
• Sharidyn Kelton
• Olivia Kendall
• Kenneth Archer MD PA
• Sara Kercho
• Kevin J Kallal MD PA (Kallal Medical Group)

• Clinical Social Worker in Keller, TX
• Providers in Keller, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.