MR. MOSES KELLY III (NPI# 1295255883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295255883 |
| Entity Type | Individual |
| Full Name | MR. MOSES KELLY III |
| Credential | MSW, MS, M.ED., |
| Practice Address |
240 N Tillotson Ave Muncie IN 47304 |
| Mailing Address |
240 N Tillotson Ave Muncie IN 47304-3988 |
| Practice Telephone | 7652891928 |
| Practice Fax Number | 7657410335 |
| Mailing Telephone | 7652891928 |
| Mailing Fax Number | 7657410335 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2018-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 33008718A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 S Tillotson Opas Ste 8, Muncie, IN 473044846 | 7652821461 |
| Street Address |
240 N TILLOTSON AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989906 | Eldon R Solomon | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2005-11-16 |
| 1609489780 | Sharyn Abbott | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-08-28 |
| 1255941761 | Kaylee Mcdonald | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-08-10 |
| 1265052278 | Deyon Brumby | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-04-20 |
| 1174143119 | Tellissa A Colglazier | Counselor | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-04-20 |
| 1144859661 | Meridian Health Services Corp. | Clinic/Center | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-04-06 |
| 1801449285 | Megan Michelle Bohm | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2019-07-24 |
| 1205497039 | Ana Garcia | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2019-06-24 |
| 1083181333 | Shelby Erin Haisley | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2018-10-25 |
| 1790276293 | Monique Jones | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831644319 | Kourtney Marie Gallegos | Social Worker | 421 S Walnut St Ste 200, Muncie, IN 47305-2484 | 2016-08-24 |
| 1013072834 | Maurice Cambridge | Social Worker | 240 Ntillotson Ave, Muncie, IN 47304-3988 | 2006-12-22 |
| 1205808193 | Deborah Lynn Daugherty | Social Worker | 3645 Briarwood Lane, Briarwood Clinic, Muncie, IN 47304 | 2006-02-03 |
| 1609489780 | Sharyn Abbott | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2020-08-28 |
| 1801449285 | Megan Michelle Bohm | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2019-07-24 |
| 1588217889 | Sally M Brocksen | Social Worker | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2019-07-17 |
| 1508428590 | Felicia Ridle | Social Worker | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2019-07-01 |
| 1205497039 | Ana Garcia | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2019-06-24 |
| 1063980308 | Alison Slack | Social Worker | 3620 W White River Blvd, Muncie, IN 47304-4286 | 2018-11-05 |
| 1083181333 | Shelby Erin Haisley | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2018-10-25 |
| Find all providers in MUNCIE | ||||
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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.