KELLY A BRAKE (NPI# 1457869919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457869919 |
| Entity Type | Individual |
| Full Name | KELLY A BRAKE |
| Credential | LSW |
| Practice Address |
555 S 18th St Columbus OH 43205-2654 |
| Mailing Address |
Department 781629 Detroit MI 48278-1629 |
| Practice Telephone | 6147224545 |
| Practice Fax Number | 6147224575 |
| Mailing Telephone | 6143558004 |
| Mailing Fax Number | 6143552220 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1600919 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1473276 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1045 Klotz Rd, Bowling Green, OH 43402 | 4193527588 | |
| 2440 Dawnlight Ave, Columbus, OH 432111934 | 6149404682 |
| Street Address |
555 S 18TH ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620361 | Michael Thomas Brady | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2005-06-22 |
| 1750916540 | Ayse Bulan | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2020-03-11 |
| 1134502024 | Russell Clay Lightfoot | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2654 | 2015-07-09 |
| 1154662930 | Stephanie Bailey Monnin | Nurse Practitioner | 555 S 18th St, Columbus, OH 43205-2654 | 2013-03-04 |
| 1043588494 | Samiah Al-zaidy | Psychiatry & Neurology | 555 S 18th St, Columbus, OH 43205-2654 | 2011-12-13 |
| 1821384025 | Amanda Lynn Way | Ophthalmology | 555 S 18th St, Suite D, Columbus, OH 43205-2654 | 2011-06-26 |
| 1548569809 | Hillary Jayne Bashaw | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2011-03-24 |
| 1386947190 | Milo D Hilty | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-12-16 |
| 1023339769 | William Matthew Smiley | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-06-17 |
| 1194049924 | Maclain Jean Magee | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2010-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| 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 |
|---|---|---|---|---|
| 1063010197 | Afia Chrappah | Social Worker | 4281 Secludedwood Ct, Columbus, OH 43230-4153 | 2020-10-12 |
| 1669079927 | Rachel Beers | Social Worker | 1530 Hilton Ave, Columbus, GA 31906-2063 | 2020-10-08 |
| 1760092647 | Rebecca St Clair | Social Worker | 2521 Fairwood Ave # 100, Columbus, OH 43207-2712 | 2020-08-05 |
| 1285257592 | Karla Michelle Lebron-rivera | Social Worker | 338 Modesta Rd, Columbus, OH 43213-4434 | 2020-05-20 |
| 1083236566 | Christopher Neal Palcsak | Social Worker | 7575 Huntington Park Dr Ste 200, Columbus, OH 43235-5618 | 2020-05-07 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1831732429 | Kelli Skaggs | Social Worker | 4889 Sinclair Rd Ste 214, Columbus, OH 43229-5434 | 2019-10-25 |
| 1386293538 | Anya M. Moore | Social Worker | 3013 Easthaven Dr S, Columbus, OH 43232-3823 | 2019-09-10 |
| 1356902522 | Ashley Nicole Schorkhuber | Social Worker | 1204 W Broad St, Columbus, OH 43222-1319 | 2019-06-27 |
| 1104482041 | Michael Darrell Watson | Social Worker | 7401 Blackmon Rd Apt 1301, Columbus, GA 31909-4499 | 2019-05-16 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on KELLY A BRAKE.
| 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.