MRS. ANGELA K KELLY (NPI# 1497015143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497015143 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA K KELLY |
| Credential | LCSW |
| Practice Address |
822 Washington St Montpelier ID 83254-1423 |
| Mailing Address |
1675 Foxmore St Pocatello ID 83204-4677 |
| Practice Telephone | 2088474464 |
| Mailing Telephone | 2083172347 |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2016-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-35978 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276485 | Angela Wilson Kelly | Counselor | 907 Haviland Dr, Vestavia Hills, AL 35216-2330 | 2019-10-09 |
| 1992115547 | Angela Kelly | Custodial Care Facility | 720 Valley Forge Rd, Jacksonville, FL 32208-3566 | 2014-05-05 |
| 1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
| 1205899358 | Angela Dawn Kelly | Chiropractor | 4329 Easton Ave, Bethlehem, PA 18020-1431 | 2006-04-10 |
| 1568956373 | Angela Diane Kelly | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2018-06-15 |
| 1366963514 | Angela Dawn Kelly | Pharmacist | 555 W Marion Rd, Mount Gilead, OH 43338-1025 | 2017-06-28 |
| 1699015248 | Angela Elena Kelly | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2013-02-19 |
| 1962732784 | Angela Kelly | Community Health Worker | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2009-12-29 |
| 1851444392 | Angela M Kelly | Speech-Language Pathologist | 17929 Gottschalk Ave, Homewood, IL 60430-1709 | 2007-01-19 |
| 1174671689 | Angela J. Kelly | Nurse Anesthetist, Certified Registered | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-01-08 |
| Street Address |
822 WASHINGTON ST |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447452800 | Bear Lake County Memorial Hospital | Community/Behavioral Health | 822 Washington St, Montpelier, ID 83254-1423 | 2007-06-05 |
| 1164814521 | Robert Wayne Brown | Social Worker | 822 Washington St, Montpelier, ID 83254-1423 | 2015-02-23 |
| 1871920546 | Bobbi Jae Kelsey | Counselor | 822 Washington St, Montpelier, ID 83254-1423 | 2013-09-26 |
| 1114208980 | Marilee Johnson | Counselor | 822 Washington St, Montpelier, ID 83254-1557 | 2011-09-07 |
| 1386883015 | Laurie Bingham | Social Worker | 822 Washington St, Montpelier, ID 83254-1423 | 2009-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| Find all providers in zip 83254 | ||||
| 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 |
|---|---|---|---|---|
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1043713522 | Forest Path Counseling, Plc | Social Worker | 100 State St Ste 502, Montpelier, VT 05602-4800 | 2018-03-12 |
| 1487024105 | Eilis O'herlihy | Social Worker | 159 State St, Montpelier, VT 05602-3301 | 2015-10-07 |
| 1306180732 | Benjamin Newman | Social Worker | 133 Elm Street, Montpelier, VT 05602 | 2012-11-26 |
| 1245548379 | Kimberlee D. Johnson | Social Worker | 90 Main St Ste 305, Montpelier, VT 05602-3242 | 2010-09-23 |
| 1164609228 | Elizabeth Halloran | Social Worker | 98 Cedar Hill Ln, Montpelier, VT 05602-3663 | 2008-01-30 |
| 1225218985 | Linda Suter | Social Worker | 23 Summer St, Montpelier, VT 05602-2228 | 2007-11-11 |
| 1083808992 | Gretchen Holly Baumgardner X | Social Worker | 58 College St, #1, Montpelier, VT 05602-3115 | 2007-09-04 |
| 1639370414 | Heather Moz | Social Worker | 14 Terrace St, Montpelier, VT 05602-2157 | 2007-05-30 |
| 1043339773 | Demaris Tisdale | Social Worker | 69 Barre St, Montpelier, VT 05602-3504 | 2007-03-27 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 83254 |
Please comment or provide details below to improve the information on MRS. ANGELA K KELLY.
| 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.