PATRICIA KELLY (NPI# 1215302872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215302872 |
| Entity Type | Individual |
| Full Name | PATRICIA KELLY |
| Credential | LLMSW |
| Practice Address |
421 Commercial Ct Ste B Venice FL 34292 |
| Mailing Address |
3181 Sandhill Rd Mason MI 48854-9425 |
| Practice Telephone | 9412444377 |
| Practice Fax Number | 9412444376 |
| Mailing Telephone | 9418226248 |
| Mailing Fax Number | 5173366050 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW15678 | FL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801100817 | MI | Behavioral Health & Social Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 4703117696 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2300 Jolly Oak Rd, Okemos, MI 488643546 | 5176792050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575186 | Patricia Kelly | Physical Therapist | 128 Hampton Dr, Berkeley Heights, NJ 07922-2527 | 2018-04-20 |
| 1861842908 | Patricia Kelly | Registered Nurse | 9649 Covemeadow Dr, Dallas, TX 75238-1819 | 2016-06-20 |
| 1124498530 | Patricia Kelly | Registered Nurse | 65 Carman Rd, Scarsdale, NY 10583-6326 | 2015-09-28 |
| 1568729473 | Patricia Kelly | Social Worker | 6940 N Keating Ave, Lincolnwood, IL 60712-2408 | 2012-04-16 |
| 1366759532 | Patricia Kelly | Licensed Vocational Nurse | 27 Clinton Rd, Garden City, NY 11530-6338 | 2010-09-08 |
| 1306080676 | Patricia Ann Kelly | Licensed Practical Nurse | 114 Parsons Rd, Camillus, NY 13031-2144 | 2009-04-29 |
| 1194924530 | Patricia L Kelly | Psychiatry & Neurology | 2305 Matthew Ave Nw, Albuquerque, NM 87104-3214 | 2007-07-16 |
| 1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
| 1659438976 | Patricia Elizabeth Kelly | Physician Assistant | 116 W Mitchell St, Petoskey, MI 49770-2324 | 2007-01-03 |
| 1568535045 | Patricia Kelly | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2006-11-15 |
| Street Address |
421 COMMERCIAL CT STE B |
| City | VENICE |
| State | FL |
| Zip Code | 34292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477624294 | Denise J White | Registered Nurse | 421 Commercial Ct Ste B, Venice, FL 34292-1656 | 2006-11-13 |
| 1902468879 | Myroslava Cox | Counselor | 421 Commercial Ct Ste B, Venice, FL 34292-1656 | 2019-07-01 |
| 1588062822 | Mary Lou Docksey | Counselor | 421 Commercial Ct Ste B, Venice, FL 34292-1656 | 2014-12-19 |
| 1285766774 | Florinda Singh Calderon | Psychiatry & Neurology | 421 Commercial Ct Ste B, Venice, FL 34292-1656 | 2007-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| 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 |
|---|---|---|---|---|
| 1003429796 | Diane K Clukey Chenard | Social Worker | 230 Tamiami Trl S Ste 3, Venice, FL 34285-2453 | 2020-08-24 |
| 1649794280 | Ireland Consulting LLC | Social Worker | 2606 Heatherwood Cir, Venice, FL 34292-2411 | 2017-07-26 |
| 1356863013 | Javanne Golob | Social Worker | 237 4th Ave Apt B2, Venice, CA 90291-8651 | 2017-07-13 |
| 1255718649 | Kyla Whipple | Social Worker | 333 Tamiami Trl S Ste 284, Venice, FL 34285-2441 | 2015-05-05 |
| 1396183331 | Cheryl Jon Andrews | Social Worker | 3323 Meadow Run Cir, Venice, FL 34293-1417 | 2013-06-12 |
| 1760724710 | Christina F Cassidy | Social Worker | 1515 Tamiami Trl S Ste 5, Venice, FL 34285-5557 | 2013-03-17 |
| 1881964286 | Sari Yoshioka | Social Worker | 2327 Glyndon Ave, Venice, CA 90291-4044 | 2012-01-03 |
| 1629399704 | Martha Gail Spiegelman | Social Worker | 1820 Raintree Ln, Venice, FL 34293-2043 | 2010-06-12 |
| 1457591034 | Linda Mccauslin Pa | Social Worker | 264 Center Rd, Venice, FL 34285-5514 | 2009-02-23 |
| 1316101215 | Lee Gerald Watts | Social Worker | 1515 Tamiami Trl S, Suite 5, Venice, FL 34285-5557 | 2008-07-10 |
| Find all providers in VENICE | ||||
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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.