MR. TIMOTHY S. KELLEY (NPI# 1295788420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295788420 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY S. KELLEY |
| Credential | MSW |
| Practice Address |
7305 N Military Trl Va Medical Center Riviera Beach FL 33410-7417 |
| Practice Telephone | 5614226426 |
| Practice Fax Number | 5614225309 |
| Mailing Telephone | 5614226426 |
| Mailing Fax Number | 5614225309 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134681059 | Timothy Kelley | Durable Medical Equipment & Medical Supplies | 1903 Turner Mccall Blvd Se, Rome, GA 30161-3366 | 2019-04-01 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| 1356443972 | Timothy Michael Kelley Jr. | Chiropractor | 94 State St, Heuvelton, NY 13654 | 2006-09-03 |
| 1790148245 | Timothy Kelley | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-04-01 |
| 1679654057 | Timothy P Kelley | Physician Assistant | 202 Williamson Rd Ste 100, Mooresville, NC 28117-7610 | 2006-10-18 |
| 1871528802 | Timothy Kelley | Otolaryngology | 520 Superior Ave, Ste 270, Newport Beach, CA 92663-3637 | 2006-07-11 |
| 1376501395 | Timothy Kelley | Nurse Anesthetist, Certified Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2006-05-01 |
| Street Address |
7305 N MILITARY TRL VA MEDICAL CENTER |
| City | RIVIERA BEACH |
| State | FL |
| Zip Code | 33410-7417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447153 | Philip F Stadelmann | Dentist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2005-06-17 |
| 1770183311 | Karen Lomangaya Segovia | Registered Nurse | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2020-10-30 |
| 1821698739 | Hooman Heidari | Dietitian, Registered | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2020-10-29 |
| 1275147241 | Kiana Rebecca Green | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2020-09-07 |
| 1245841980 | Brittany Faley | Pharmacist | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2020-08-16 |
| 1538784723 | Sharlene Sharon Barrow | Nurse Practitioner | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2020-06-12 |
| 1427677418 | John Stephen Toryak Jr. | Respiratory Therapist, Registered | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2020-04-10 |
| 1740828425 | Donell Marie Standifer | Social Worker | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2019-12-13 |
| 1528606415 | Lucy B Barrios | Dietitian, Registered | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2019-12-11 |
| 1093352379 | Alison Mckensie Elling | Social Worker | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2019-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| 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 |
|---|---|---|---|---|
| 1104445337 | Shakiyla Karice Hart | Social Worker | 1565 W 19th St, Riviera Beach, FL 33404-5215 | 2020-04-08 |
| 1497252597 | Susan Kelly Polo | Social Worker | 100 W 20th St, Riviera Beach, FL 33404-6158 | 2018-04-06 |
| 1215444211 | Grow Yourself LLC | Social Worker | 2640 Lake Shore Dr Unit 709, Riviera Beach, FL 33404-4669 | 2017-12-29 |
| 1154566461 | Pamela Lynn Moss | Social Worker | 2001 Blue Heron Blvd W, Riviera Beach, FL 33404-5003 | 2008-12-16 |
| 1346468279 | Annalee Shein | Social Worker | 2640 Lake Shore Dr, Unit 709, Riviera Beach, FL 33404-4665 | 2007-04-23 |
| 1326659475 | Ashley Melissa Anderson | Social Worker | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2020-08-12 |
| 1740828425 | Donell Marie Standifer | Social Worker | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2019-12-13 |
| 1093352379 | Alison Mckensie Elling | Social Worker | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2019-12-05 |
| 1518500412 | Abigail Jean Parthemer | Social Worker | 2001 W Blue Heron Blvd, Riviera Beach, FL 33404-5003 | 2019-10-23 |
| 1063069045 | Lucenda Laukisha Honore | Social Worker | 2001 Blue Heron Blvd W, Riviera Beach, FL 33404-5003 | 2019-08-23 |
| Find all providers in RIVIERA BEACH | ||||
| City | RIVIERA BEACH |
| Zip Code | 33410 |
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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.