DEBORAH MARIE KELLY


Address: Icd, 340 E 24 Street, New York, NY 10010-4019
Phone: 2125856282

DEBORAH MARIE KELLY (NPI# 1053385369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053385369
Entity Type Individual
Full Name DEBORAH MARIE KELLY
Credential LCSW
Practice Address Icd
340 E 24 Street
New York
NY 10010-4019
Mailing Address 11 Riverside Dr
6hw
New York
NY 10023-2504
Practice Telephone 2125856282
Mailing Telephone 2125803710
Enumeration Date 2006-02-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
RO41062 NY Behavioral Health & Social Service Providers

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1609067438 Deborah B Kelly Dietitian, Registered 1425 Portland Ave, Rochester, NY 14621-3001 2007-08-07
1952528176 Deborah G Kelly Pharmacist 2525 Horizon Lake Dr, Suite 101, Memphis, TN 38133-8119 2007-04-19

Office Location

Street Address ICD
340 E 24 STREET
City NEW YORK
State NY
Zip Code 10010-4019

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

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1669079364 Nina Michelle Libson Social Worker 405 E 14th St Apt 6e, New York, NY 10009-2703 2020-10-06
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Competitor

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City NEW YORK
Zip Code 10010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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