MRS. KATHLEEN B KELLY (NPI# 1184781890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184781890 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN B KELLY |
| Credential | MSW, LSW |
| Practice Address |
343 S 3rd St Coopersburg PA 18036-2111 |
| Practice Telephone | 6102822575 |
| Practice Fax Number | 6102823076 |
| Mailing Telephone | 6102822575 |
| Mailing Fax Number | 6102823076 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW-007136-L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335511 | Kathleen Kelly | Social Worker | 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 | 2020-10-27 |
| 1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
| 1033510359 | Kathleen P Kelly | Licensed Practical Nurse | 25 Rogers Pl, Hyde Park, NY 12538-1112 | 2014-09-05 |
| 1730522418 | Kathleen Kelly | Registered Nurse | 319 Middlesex Rd, Buffalo, NY 14216-3140 | 2013-04-11 |
| 1528328432 | Kathleen Marie Kelly | Behavioral Analyst | 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 | 2012-05-24 |
| 1013241512 | Kathleen Marie Kelly | Psychologist | #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 | 2009-09-30 |
| 1174739882 | Kathleen Petrie Kelly | Physical Therapist | 4 Kildare Walk, Rockaway Point, NY 11697-1708 | 2007-05-16 |
| 1073664710 | Kathleen Lorraine Kelly | Counselor | 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 | 2007-01-16 |
| 1811062839 | Kathleen Kelly | Nurse Practitioner | 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 | 2006-11-22 |
| 1467455147 | Kathleen A Kelly | Dentist | 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 | 2005-05-24 |
| Street Address |
343 S 3RD ST |
| City | COOPERSBURG |
| State | PA |
| Zip Code | 18036-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013015908 | William J Kelly | Psychologist | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2006-09-21 |
| 1942865027 | Luke Smith | Counselor | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2019-05-05 |
| 1033607049 | John H Blaxland | Counselor | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2018-04-25 |
| 1487709416 | Christine J Sherwood | Counselor | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2007-01-23 |
| 1922155761 | David D Babb | Counselor | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2007-01-04 |
| 1134286768 | Michael R Kotch | Psychologist | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2007-01-02 |
| 1285790923 | Wayne R Schantzenbach | Social Worker | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2006-12-28 |
| 1033292552 | Linda J Kreger | Counselor | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2006-10-21 |
| 1689775157 | Keystone Counseling Services, PC | Psychologist | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417483611 | Lee Applequist | Physical Therapist | 5926 Glen Road, Coopersburg, PA 18036 | 2017-05-08 |
| 1386005536 | Deborah Siderias | Counselor | 404 E. Landis Street, Coopersburg, PA 18036 | 2016-03-16 |
| 1124404975 | Diane R. Wertman | Counselor | 343 S. 3rd Street, Coopersburg, PA 18036 | 2015-08-04 |
| 1639588528 | Tyler Washburn | Counselor | 3822 Chestnut Hill Road, Coopersburg, PA 18036 | 2014-08-05 |
| 1659700698 | Holly White | Physical Therapist | 7650 Pennsylvania Route 309, Coopersburg, PA 18036 | 2013-11-08 |
| 1770832370 | Joan T Metter | Registered Nurse | 1879 Peppermint Road, Coopersburg, PA 18036 | 2012-08-29 |
| 1811184906 | Brenda Werkheiser | Dental Hygienist | 21 N Main St., Coopersburg, PA 18036 | 2007-10-02 |
| 1689792160 | Bruce Matthew Wechtler | Dentist | 202 South 3rd Street, Coopersburg, PA 18036 | 2007-03-26 |
| 1730299751 | Robin Janel Rooth-fogel | Social Worker | 202 S. Third Street, Suite 1, Coopersburg, PA 18036 | 2006-08-30 |
| 1528090545 | Giant Food Stores LLC | Pharmacy | 216 E Fairmount St and Rt 309, Coopersburg, PA 18036 | 2006-07-07 |
| Find all providers in zip 18036 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811318447 | Armand Diyenno | Social Worker | 2705 Giffert Way, Coopersburg, PA 18036-9620 | 2013-12-28 |
| 1265623052 | Gail Petcavage Gibbs | Social Worker | 6193 Blue Church Road S., Coopersburg, PA 18036-9469 | 2007-08-06 |
| 1659476372 | Heather Renee Evans | Social Worker | 550 E Station Ave, Coopersburg, PA 18036-2028 | 2006-09-14 |
| 1730299751 | Robin Janel Rooth-fogel | Social Worker | 202 S. Third Street, Suite 1, Coopersburg, PA 18036 | 2006-08-30 |
| 1679113575 | Robin Rooth-fogel, Lcsw, LLC | Social Worker | 202 S. Third Street, Suite 1, Coopersburg, PA 18036 | 2020-01-09 |
| 1326684465 | Laura Rush | Social Worker | 124 S Main St, Coopersburg, PA 18036-1913 | 2019-11-25 |
| 1285790923 | Wayne R Schantzenbach | Social Worker | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619798 | Kealsey Brennan Beecham | Social Worker | 9071 Mill Creek Rd Apt 2411, Levittown, PA 19054-4233 | 2020-11-07 |
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1992305478 | Christina Lynn Watson | Social Worker | 939 Bayridge Ave, Pittsburgh, PA 15226-2133 | 2020-10-26 |
| 1992304455 | Sarah B Matas | Social Worker | 434 Kennett Pike, Chadds Ford, PA 19317-9383 | 2020-10-25 |
| 1023617743 | Cody Forsythe | Social Worker | 147 N 5th St Ste 2, Reading, PA 19601-3494 | 2020-10-23 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1790384147 | Julie Adelle Figueroa | Social Worker | 301 Washington St Apt 1313, Conshohocken, PA 19428-4010 | 2020-10-17 |
| 1265030712 | Samantha Barley | Social Worker | 16055 Perry Hwy Bldg 3, Wexford, PA 15090-6885 | 2020-10-15 |
| 1346848165 | Lianne Glaus Vighetti | Social Worker | 624 Deer Watch Rd, Bridgeville, PA 15017-1148 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | COOPERSBURG |
| Zip Code | 18036 |
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| 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.