Active NPI
Baiba A Kelley, MSW
- Clinical Social Worker
- Northfield, MN
National Provider Identifier
1982868006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27295
- Practice address
- 220 Division St S
Northfield, MN 55057-2046 - Phone
- (202) 333-2876
- NPI assigned
- Jul 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 50082228 | DC | |
| Clinical Social Worker | 1041C0700X | 27295 | MN | Primary |
Addresses
Primary practice location
220 Division St S
Northfield, MN 55057-2046
Mailing address
220 Division St S
Northfield, MN 55057-2046
Phone (202) 333-2876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50082228 | DC | MD | Clinical Social Worker |
| 27295 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1982868006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 DIVISION ST S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572046",
"telephone_number": "202-333-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 DIVISION ST S",
"city": "NORTHFIELD",
"state": "MN",
"postal_code": "550572046",
"telephone_number": "202-333-2876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "BAIBA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "50082228",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "27295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.