KELLIE HIXON (NPI# 1386191187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386191187 |
| Entity Type | Individual |
| Full Name | KELLIE HIXON |
| Credential | LCSW |
| Practice Address |
850 N 11th St Philadelphia PA 19123-1957 |
| Mailing Address |
209 Magnolia Ter Unit B Upper Darby PA 19082-1014 |
| Practice Telephone | 2157691100 |
| Mailing Telephone | 6096684021 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2018-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW019790 | PA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW130691 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4200 Monument Rd, Philadelphia, PA 191311625 | 2155813740 | 2155813781 |
| Street Address |
850 N 11TH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19123-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213671 | Debra Mcgrath | Nurse Practitioner | 850 N 11th St, Philadelphia, PA 19123-1957 | 2005-05-27 |
| 1063045110 | Laura Baehr | Physical Therapist | 850 N 11th St, Philadelphia, PA 19123-1957 | 2020-02-18 |
| 1447815097 | Dana Robinson | Dental Hygienist | 850 N 11th St, Philadelphia, PA 19123-1957 | 2019-05-08 |
| 1891268025 | Amy Lyn Kesslick | Counselor | 850 N 11th St, Philadelphia, PA 19123-1957 | 2019-01-10 |
| 1467929240 | Mina Dinh | Dentist | 850 N 11th St, Philadelphia, PA 19123-1957 | 2018-10-30 |
| 1982121455 | Angela Hall-morris | Dental Hygienist | 850 N 11th St, Philadelphia, PA 19123-1957 | 2017-08-25 |
| 1659898203 | Michael R Kossey | Dental Hygienist | 850 N 11th St, Philadelphia, PA 19123-1957 | 2017-08-24 |
| 1013432897 | Jessica Falk | Social Worker | 850 N 11th St, Philadelphia, PA 19123-1957 | 2017-08-14 |
| 1003356908 | Lindsay Meeks Edwards | Counselor | 850 N 11th St, Stephen & Sandra Sheller 11th Street Family Health Serv, Philadelphia, PA 19123-1957 | 2017-02-27 |
| 1386011716 | Sarah Elyse Thornburg | Registered Nurse | 850 N 11th St, Philadelphia, PA 19123-1957 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301842 | Regina Ann Griffin | Massage Therapist | 721 West Brown Street, Apt 1r, Philadelphia, PA 19123 | 2020-09-16 |
| 1811453558 | Terence Jones | Counselor | 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 | 2019-02-19 |
| 1750874517 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 456 N 5th St, Philadelphia, PA 19123 | 2018-06-07 |
| 1649761677 | Dawn Webster | Acupuncturist | 466 N 10th St, Philadelphia, PA 19123 | 2018-05-25 |
| 1629566237 | Tri-county Home Health Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 443-45 W. Girard Ave, Ste 2b, Philadelphia, PA 19123 | 2018-04-30 |
| 1508389214 | Greater Delaware Valley Society of Transplant Surgeons | Organ Procurement Organization | 401 N. 3rd Street, Philadelphia, PA 19123 | 2017-07-25 |
| 1770987588 | Eugene Borys | Social Worker | 1217 Spring Garden Street, 1st Fl, Bebashi Transition To Hope, Philadelphia, PA 19123 | 2014-10-22 |
| 1134521255 | 9th & Girard Pharmacy Inc | Pharmacy | 901 W Girard Ave, #105, Philadelphia, PA 19123 | 2014-09-19 |
| 1508271925 | Waleska Santiago, PC | Internal Medicine | 1 Brown Street Unit 1414, Philadelphia, PA 19123 | 2014-06-24 |
| 1366865537 | Keli Hunter | Chiropractor | 683 N. Broad Street, Philadelphia, PA 19123 | 2014-01-24 |
| Find all providers in zip 19123 | ||||
| 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 |
|---|---|---|---|---|
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1679170575 | Wendy Diane Nickerson | Social Worker | 741 S 2nd St, Philadelphia, PA 19147-3425 | 2020-10-04 |
| 1497362404 | Lora M Rhodes | Social Worker | 925 Chestnut St Ste 321a, Philadelphia, PA 19107-4216 | 2020-09-24 |
| 1841806395 | Molly Vocino | Social Worker | 925 Chestnut St Ste 422u, Philadelphia, PA 19107-4216 | 2020-09-21 |
| 1306452065 | Rebecca Cammy | Social Worker | 925 Chestnut St # 422w, Philadelphia, PA 19107-4216 | 2020-09-18 |
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1265045272 | Lisa Gabrielle Schilansky | Social Worker | 4813 Springfield Ave Apt 1, Philadelphia, PA 19143-3409 | 2020-08-28 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19123 |
Please comment or provide details below to improve the information on KELLIE HIXON.
| 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.