Kelley Haggerty, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

091207 Issued in NY

Practice address

1 Lawrence St
Glens Falls, NY 12801-3617

Phone

(518) 926-7100

NPI assigned

Jul 16, 2017

Last updated

Mar 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Presence Sealy Counseling and Development LicensedclinicalservicespllcGroup PAC ID 7214295245, 7 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.

• Presence Sealy Counseling and Development Licensedclinicalservicespllc

  dba Presence Counseling Services

  • Clinical Social Worker
  • Seneca Falls, NY
  • NPI 1346769734
  Medicare reassignment Care Compare group NPD
• Presence Psychology, LMSW, PT, OT and SLP Services, PLLC

  dba Presence Developmental Services

  • Intellectual & Developmental Disabilities Psychologist
  • Seneca Falls, NY
  • NPI 1538688924
  NPD

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

{
    "created_epoch": "1500163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1962924431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NORTH LN APT D",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664365",
            "telephone_number": "518-496-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAWRENCE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013617",
            "telephone_number": "518-926-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "KELLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-16",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "9488229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Guadagno, MD
• Michael Gumuka, MD
• Amanda Gustafson, MS, RD, CDN
• Courtney Hafner, NPP
• Darlene Hafner
• Robert W Hahm, M.D.
• Laurie A. Hall, LMSW
• Brianna Therese Halleran, LCSW
• Ranya Ali Hamdan, PA-C
• Judith Vermet Hamdi, LCSW, CASAC

• Clinical Social Worker in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.