DIANA RENEE KELLY (NPI# 1417477696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417477696 |
| Entity Type | Individual |
| Full Name | DIANA RENEE KELLY |
| Credential | LCSW |
| Practice Address |
3415 Aylesford Ln Indianapolis IN 46228-2881 |
| Practice Telephone | (317) 519-0737 |
| Mailing Telephone | 3175190737 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34007853A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | NATIONAL ASSOCIATION OF SOCIAL WORKERS | 34007853A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356877468 | Diana Kelly | Speech-Language Pathologist | 300 Joplin Dr, Mckinney, TX 75071-7758 | 2017-05-10 |
| 1861780827 | Diana Kelly | Nurse Practitioner | 1712 Mosaic Forest Dr, Seffner, FL 33584-5568 | 2011-07-12 |
| 1336610690 | Diana Kelly | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2018-12-16 |
| 1003307604 | Diana M Kelly | Case Manager/Care Coordinator | 1753 Sidewinder Dr, Park City, UT 84060-7322 | 2018-05-21 |
| Street Address |
3415 AYLESFORD LN |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46228-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275797300 | Glendia Diane Butts | Occupational Therapist | 3644 West 48th Street, Indianapolis, IN 46228 | 2008-07-17 |
| 1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
| 1730186628 | Marimelia Skovronsky | Ophthalmology | 1017 W 52nd St, Indianapolis, IN 46228 | 2005-07-07 |
| 1235200742 | Gental Hands Home Health | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2006-11-13 |
| 1710170220 | Vetra Davis | Home Health | 5960 Manning Rd, Indianapolis, IN 46228-1081 | 2007-08-20 |
| 1811453814 | Terry Anthony Webster Jr. | Day Training/Habilitation Specialist | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1679039671 | T3 Impact Inc. | Counselor | 3710 Nuthatcher Dr, Indianapolis, IN 46228-1089 | 2019-02-14 |
| 1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
| 1134217201 | Springfield Health Care Center, Inc | Skilled Nursing Facility | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2006-10-11 |
| 1134767692 | Shannon Alford | Counselor | 6130 Michigan Rd, Indianapolis, IN 46228-1200 | 2019-12-16 |
| Find all providers in zip 46228 | ||||
| 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 |
|---|---|---|---|---|
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| 1477167815 | Cydaria Lashon Cooke | Social Worker | 7909 Preservation Dr, Indianapolis, IN 46278-9553 | 2020-09-02 |
| 1790396760 | Restored Pieces LLC | Social Worker | 7210 Mars Dr, Indianapolis, IN 46241-3693 | 2020-08-13 |
| 1215546973 | Tammy M Skinner | Social Worker | 1633 N Capitol Ave # Mt301, Indianapolis, IN 46202-1261 | 2020-07-29 |
| 1922626092 | Heartland Healing Counseling Services | Social Worker | 2432 Conservatory Dr Fl 2, Indianapolis, IN 46203-3985 | 2020-07-06 |
| 1710504980 | Salma Mohiuddin | Social Worker | 3418 Bodelva Ln, Indianapolis, IN 46228-2894 | 2020-07-02 |
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46228 |
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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.