Individual provider Active NPI

Andrea Lindsay-Kelley, MSW, MPH, LICSW

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1992019533
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120513 Issued in MA
Practice address
10 Granite St FL 3
Quincy, MA 02169-5021
Phone
(508) 484-5935
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 120513 MA Primary

Addresses

Primary practice location

10 Granite St FL 3
Quincy, MA 02169-5021

Mailing address

275 Curve St
Bridgewater, MA 02324-3418
Phone (508) 484-5935

Other practice location 1

88 Lincoln St
Framingham, MA 01702-6354
Phone (508) 620-0010 ext. 325

Other names 1

  • Andrea Kelley Professional name

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

LicenseStateTypeSpecialty
120513MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psyched Group, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1992019533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CURVE ST",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243418",
            "telephone_number": "508-484-5935",
            "fax_number": "617-328-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRANITE ST FL 3",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695021",
            "telephone_number": "508-484-5935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026354",
            "country_code": "US",
            "telephone_number": "508-620-0010 x325",
            "fax_number": "508-875-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSAY-KELLEY",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MSW, MPH, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KELLEY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.