Kelly Josephine Maney

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

70068223 Issued in WA

Practice address

310 S Roosevelt St
Goldendale, WA 98620-9201

Phone

(509) 773-4017

NPI assigned

Sep 7, 2026

Last updated

Sep 7, 2026By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1982513610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 2ND ST UNIT 121",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970580889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S ROOSEVELT ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209201",
            "telephone_number": "509-773-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEY",
        "first_name": "KELLY",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "70068223",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "70068223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE",
            "identifier": "70068223",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Temira Lital
• Lunsford Family Chiropractic
• Dejon Lunsford, DC
• Barbara Jean Macgillivray, MD
• John Macy, MD
• Debra Mannino, RN
• Sara R Marvin, LMP
• Mohammad Masudian, DDS, MPH
• Mellissa Tang McBean, NA-C
• Chelsey McIntyre, PHARMD

• Clinical Social Worker in Goldendale, WA
• Providers in Goldendale, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.