WILLIAM A KELLY (NPI# 1285741439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285741439 |
| Entity Type | Individual |
| Full Name | WILLIAM A KELLY |
| Credential | LCSW-R |
| Practice Address |
496 White Spruce Blvd Rochester NY 14623-1608 |
| Practice Telephone | 5853272121 |
| Practice Fax Number | 5852728986 |
| Mailing Telephone | 5853272121 |
| Mailing Fax Number | 5852728986 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
024746 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 024746 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770138018 | William Ayers Kelly Iv | Specialist/Technologist | 1520 Hurst St, Fort Bragg, NC 28308 | 2019-08-05 |
| 1629574637 | William James Kelly | Nurse Practitioner | 590 George St, New Brunswick, NJ 08901-8531 | 2018-03-30 |
| 1881025302 | William Nathaniel Kelly IIi | Social Worker | 4205 Park Blvd, San Diego, CA 92103-2512 | 2013-12-09 |
| 1548392822 | William J. Kelly | Counselor | 22 Oak Tree Dr, N Kingstown, RI 02852-2035 | 2007-03-12 |
| 1699804567 | William Charles Kelly | Dentist | 42448 Cherry Hill, Canton, MI 48187 | 2007-03-05 |
| 1548351372 | William Huske Kelly | Pediatrics | 1606 Morganton Rd, Fayetteville, NC 28305-4738 | 2006-09-27 |
| 1013015908 | William J Kelly | Psychologist | 343 S 3rd St, Coopersburg, PA 18036-2111 | 2006-09-21 |
| 1194766394 | William Francis Kelly | Physician Assistant | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2006-06-09 |
| 1689649402 | William James Kelly | Chiropractor | 160 Sunset Manor Dr, Birdsboro, PA 19508-1018 | 2006-02-23 |
| 1730170374 | William Sherwood Kelly | Family Medicine | 420 W Mountain St, Kernersville, NC 27284-2534 | 2005-11-02 |
| Street Address |
496 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003878992 | Laurie P Burns | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-04-05 |
| 1891913521 | Joy Anita Hofbauer | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2007-04-20 |
| 1689700601 | Rita Marle Reisinger Novisky | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623 | 2007-02-26 |
| 1659451508 | Karl J Herrenkohl | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-10-16 |
| 1225131121 | Steven Davis | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-09-06 |
| 1225048671 | Peter Thomas Teall | Counselor | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-08-08 |
| 1821016171 | Carole B. Frank | Social Worker | 496 White Spruce Blvd, Rochester, NY 14623-1608 | 2006-07-17 |
| 1154355279 | Paul Noah Rosenfeld | Psychiatry & Neurology | 496 White Spruce Blvd, Rochester, NY 14623 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| 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 |
|---|---|---|---|---|
| 1417562299 | Katelyn Connolly | Social Worker | 1017 33rd St Nw, Rochester, MN 55901-1484 | 2020-09-09 |
| 1427660711 | Annika Peterson | Social Worker | 2632 5th Ave Nw, Rochester, MN 55901-2363 | 2020-08-19 |
| 1649888116 | Michelle Solomou | Social Worker | 61 Evandale Rd, Rochester, NY 14618-3901 | 2020-07-21 |
| 1366067753 | Ashraf Khater | Social Worker | 513 University Park, Rochester, NY 14620-4434 | 2020-06-10 |
| 1770115560 | Diana Lerner | Social Worker | 1441 Clover St, Rochester, NY 14610-3313 | 2020-02-10 |
| 1922639111 | Kristina Maria Washington | Social Worker | 121 Stover Rd, Rochester, NY 14624-4451 | 2020-01-28 |
| 1689210072 | Vanessa Dannielle Peavy | Social Worker | The University of Rochester, 738 Library Rd., Rochester, NY 14627-1462 | 2019-11-21 |
| 1336799972 | Element Psychotherapy LLC | Social Worker | 333 1/2 S Main St Ste B-1, Rochester, MI 48307-2084 | 2019-09-16 |
| 1215586920 | Caswell Vincent Smith | Social Worker | 161 California Dr, Rochester, NY 14616-4209 | 2019-09-05 |
| 1568010163 | Antoinette Palka Gauthier | Social Worker | 115 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2019-08-28 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on WILLIAM A KELLY.
| 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.