MS. KIMBERLY W KELLY (NPI# 1386080414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386080414 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY W KELLY |
| Credential | LCSW |
| Practice Address |
1022 Farmington Ave West Hartford CT 06107-2105 |
| Practice Telephone | 8605218035 |
| Practice Fax Number | 8605218036 |
| Mailing Telephone | 8605218035 |
| Mailing Fax Number | 8605218036 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004309 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083252878 | Kimberly Anne Kelly | Nurse Practitioner | 3056 Hickory St, Yorktown Heights, NY 10598-2734 | 2019-12-12 |
| 1023503919 | Kimberly Kelly | Counselor | 1382 Bull Lea Rd, Lexington, KY 40511-1247 | 2018-06-25 |
| 1265812085 | Kimberly Kelly | Counselor | 80 Kleyona Ave, Phoenixville, PA 19460-2568 | 2015-06-06 |
| 1144600115 | Kimberly Ann Kelly | Dietitian, Registered | 3550 Ballina Canyon Rd, Encino, CA 91436-4108 | 2015-06-04 |
| 1922403955 | Kimberly C. Kelly | Behavioral Analyst | 62 Lowell St Ste 5, Manchester, NH 03101-1607 | 2014-11-04 |
| 1710390828 | Kimberly Kelly | Speech-Language Pathologist | 1313 Southside Cir, Nashville, TN 37212-2442 | 2014-06-05 |
| 1669727186 | Kimberly Kelly | Social Worker | 2750 Sutterville Road, Sacramento, CA 95820 | 2012-07-20 |
| 1174833966 | Kimberly Sue Kelly | Psychologist | 630 S Woodruff Ave, Idaho Falls, ID 83401-5299 | 2010-10-14 |
| 1245460120 | Kimberly A Kelly | Pharmacist | 8571 Rivers Ave, North Charleston, SC 29406-9208 | 2009-07-24 |
| 1992944870 | Kimberly Ann Kelly | Counselor | 114 E Bolton St, Pontotoc, MS 38863-1506 | 2009-02-17 |
| Street Address |
1022 FARMINGTON AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689887440 | The Bridge Family Center Inc | Clinic/Center | 1022 Farmington Ave, West Hartford, CT 06107 | 2007-05-08 |
| 1295101277 | Joann S Taft | Counselor | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2015-08-13 |
| 1255767398 | Suzanne Sutch | Counselor | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2013-09-20 |
| 1881951283 | John E. Mancini | Counselor | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2012-04-23 |
| 1538315825 | Meaghan M Gorman | Marriage & Family Therapist | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2008-08-18 |
| 1801067459 | Laura Elizabeth Abbatemarco | Social Worker | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2008-03-21 |
| 1134399116 | The Bridge Family Center, Outpatient Psychiatric Clinic for Children | Clinic/Center | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2008-03-06 |
| 1013195098 | The Bridge Family Center | Community/Behavioral Health | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2008-02-01 |
| 1568648715 | Luis Armando Ramirez | Social Worker | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2008-01-18 |
| 1407059462 | Marissa Murphy | Social Worker | 1022 Farmington Ave, West Hartford, CT 06107-2105 | 2007-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| 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 |
|---|---|---|---|---|
| 1043811805 | Nancy Harvey Lcsw, LLC | Social Worker | 14 Randal Ave, West Hartford, CT 06110-1743 | 2020-11-06 |
| 1235744384 | Kristen Eileen Guest | Social Worker | 43 Belcrest Rd, West Hartford, CT 06107-3305 | 2020-09-14 |
| 1033739750 | Tangel Mcfadden | Social Worker | 35 W Ridge Dr, West Hartford, CT 06117-2064 | 2020-04-22 |
| 1578194650 | Joyce Marie Voltaire-huertas | Social Worker | 1001 Farmington Ave Ste 305, West Hartford, CT 06107-2143 | 2020-01-28 |
| 1184266454 | Liz Anderson, Lcsw, LLC | Social Worker | 10 N Main St Ste 312, West Hartford, CT 06107-1901 | 2019-10-08 |
| 1457913535 | Elizabeth Catherine Anderson | Social Worker | 1100 New Britain Ave Fl 2, West Hartford, CT 06110-2427 | 2019-06-28 |
| 1578126686 | Erica J Ronald | Social Worker | 113 Pioneer Dr, West Hartford, CT 06117-3033 | 2019-04-16 |
| 1114498284 | Samantha Elizabeth Strickland | Social Worker | 15 Argyle Ave, West Hartford, CT 06107-1702 | 2018-12-16 |
| 1154806024 | Nikki L Richer | Social Worker | 361 Fern St, West Hartford, CT 06119-1141 | 2018-09-26 |
| 1659867000 | Kimberly A Morales | Social Worker | 812 Quaker Ln S, West Hartford, CT 06110-1225 | 2018-07-09 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.