KELLY THERESA O'BRIEN (NPI# 1427426063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427426063 |
| Entity Type | Individual |
| Full Name | KELLY THERESA O'BRIEN |
| Credential | LMSW |
| Practice Address |
635 James St Syracuse NY 13203-2226 |
| Practice Telephone | 3154723171 |
| Practice Fax Number | 3154729252 |
| Mailing Telephone | 3154723171 |
| Mailing Fax Number | 3154729252 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 091228-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154988483 | Kelly Jean O'brien | Dental Hygienist | Nhti-concord's Community College, 31 College Drive, Concord, NH 03301 | 2019-05-22 |
| 1326547225 | Kelly O'brien | Counselor | 46 Briar Hill Dr, Cranston, RI 02921-1202 | 2018-02-06 |
| 1659789089 | Kelly O'brien | Recreation Therapist | 1039 Forest Ave, Belleville, IL 62220-3623 | 2014-07-29 |
| 1033535505 | Kelly O'brien | Counselor | 4847 152nd Pl Se, Bellevue, WA 98006-3604 | 2014-03-08 |
| 1265605331 | Kelly Anne O'brien | Family Medicine | 600 Nw Murray Rd Ste 210, Lees Summit, MO 64081-1245 | 2008-04-09 |
| 1083212344 | Kelly O'brien | Physician Assistant | 900 Medical Village Dr, Edgewood, KY 41017-3422 | 2020-10-09 |
| 1174135180 | Kelly Therese O'brien | Counselor | 6415 Stanley Ave, Berwyn, IL 60402-3130 | 2020-08-20 |
| 1235748997 | Kelly Lynn O'brien | Behavior Technician | 108 Doctors Park, Saint Cloud, MN 56303-1207 | 2020-07-29 |
| 1164048476 | Kelly M O'brien | Social Worker | 535 Flushing Ave, Brooklyn, NY 11205-1610 | 2020-06-23 |
| 1740801687 | Kelly Joyce O'brien | Emergency Medicine | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2020-05-01 |
| Street Address |
635 JAMES ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639283005 | Robert E Paganelli | Counselor | 635 James St, Syracuse, NY 13203-2226 | 2006-08-19 |
| 1790392181 | Magdalene Ball | Social Worker | 635 James St, Syracuse, NY 13203-2226 | 2020-09-29 |
| 1811537145 | Courtney Smith | Social Worker | 635 James St, Syracuse, NY 13203-2226 | 2020-01-15 |
| 1720649916 | Christina M Stevens | Counselor | 635 James St, Syracuse, NY 13203-2226 | 2019-06-27 |
| 1073079323 | Michelle Stiles | Counselor | 635 James St, Syracuse, NY 13203 | 2019-02-12 |
| 1285125666 | Jennifer Patricia Stenuf | Social Worker | 635 James St, Syracuse, NY 13203 | 2018-05-22 |
| 1366940751 | Elizabeth Evett | Counselor | 635 James St, Syracuse, NY 13203-2226 | 2018-01-31 |
| 1003323262 | Kimberly Brandl | Counselor | 635 James St, Syracuse, NY 13203-2226 | 2018-01-09 |
| 1174039507 | Stephanie Andrianos | Social Worker | 635 James St, Syracuse, NY 13203-2226 | 2017-12-21 |
| 1568826824 | Benjamin Hanlon | Counselor | 635 James St, Syracuse, NY 13203-2226 | 2016-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| 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 |
|---|---|---|---|---|
| 1801495429 | Keshari Kharka | Social Worker | 143 Cadillac St, Syracuse, NY 13208-1848 | 2020-10-23 |
| 1427656974 | Lisa Jean Joyce | Social Worker | 518 Standish Dr, Syracuse, NY 13224-2016 | 2020-10-15 |
| 1740897842 | Phyllis Arlene Riles | Social Worker | 112 Jericho Dr, Syracuse, NY 13210-3555 | 2020-09-23 |
| 1063021426 | Marci Jo Detorio | Social Worker | 215 Hartson St, Syracuse, NY 13204-3407 | 2020-07-30 |
| 1508484940 | Emily Rose Carlson | Social Worker | 106 Edgemont Dr, Syracuse, NY 13214-2011 | 2020-07-13 |
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1043836604 | Deanne Day | Social Worker | 256 Stafford Ave, Syracuse, NY 13206-3311 | 2020-06-19 |
| 1316570047 | Daritza Peguero | Social Worker | 204 Boston St, Syracuse, NY 13206-2528 | 2020-02-21 |
| 1851930481 | Sarah O'meara | Social Worker | 204 Dorchester Ave Apt 2a, Syracuse, NY 13203-1417 | 2019-12-30 |
| 1871137398 | Corinne Dilaura | Social Worker | 600 E Genesee St Ste 130, Syracuse, NY 13202-3101 | 2019-10-29 |
| Find all providers in SYRACUSE | ||||
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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.