MR. CHARLES L KELLY (NPI# 1518025683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518025683 |
| Entity Type | Individual |
| Full Name | MR. CHARLES L KELLY |
| Credential | MSW, LICSW |
| Practice Address |
40 Industrial Park Rd Department of Mental Health Plymouth MA 02360-4884 |
| Mailing Address |
Po Box 396 Brant Rock MA 02020-0396 |
| Practice Telephone | 5087323011 |
| Mailing Telephone | 7818379312 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
103859 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE SHEILD PROVIDER NUMB | PO3270 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366765661 | Charles Christopher Kelly | Massage Therapist | 124 Arborgate Cir, Columbia, SC 29212-2465 | 2010-03-01 |
| 1730123639 | Charles E Kelly | Specialist | 3050 Centre Pointe Drive, Suite 200, Roseville, MN 55113 | 2006-06-15 |
| 1780678979 | Charles E Kelly II | Specialist | 2839 Hwy 231 North, Suite 208a, Shelbyville, TN 37160-7449 | 2005-09-02 |
| 1922588292 | Charles Kelly | Physical Therapy Assistant | 401 Oakwood Blvd, Round Rock, TX 78681 | 2018-08-16 |
| 1093247447 | Charles Michael Kelly II | Family Medicine | 210 9th St Se, Rochester, MN 55904-6756 | 2017-04-03 |
| 1508013103 | Charles J Kelly | Counselor | 21 Franciscan Way, Garrison, NY 10524-0150 | 2008-08-26 |
| 1447367461 | Charles Francis Kelly | Chiropractor | 36410 Garfield, Clinton Township, MI 48035-1131 | 2006-08-24 |
| 1760402473 | Charles A. Kelly | Psychiatry & Neurology | 913 Bowman Rd # B, Mt Pleasant, SC 29464-3235 | 2006-07-19 |
| 1528009800 | Charles Michael Kelly | Orthopaedic Surgery | 7710 Mercy Rd, Suite 224, Omaha, NE 68124-2372 | 2006-06-09 |
| 1083674352 | Charles A Kelly | Anesthesiology | 40 Second Ave, Waltham, MA 02451 | 2006-03-23 |
| Street Address |
40 INDUSTRIAL PARK RD DEPARTMENT OF MENTAL HEALTH |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898747 | Linda A Parrillo | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2005-08-11 |
| 1255722906 | Post, Oconnor & Kadrmas Eye Centers Dba Kadrmas Eye Care New England | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2015-02-16 |
| 1144651191 | Post Oconnor Kadrmas Eye Center | Technician/Technologist | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2013-12-02 |
| 1306012950 | Shazia Saman Ahmed | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2008-05-05 |
| 1780707901 | Aimee Koren Gray Pickett | Optometrist | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2007-04-10 |
| 1194844506 | Commonwealth of Massachusetts-dmh | Case Management | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2007-03-28 |
| 1326181595 | Robert C. Anzola | Social Worker | 40 Industrial Park Rd, D.m.h., Plymouth, MA 02360-4884 | 2007-02-15 |
| 1447325857 | Post Oconnor & Kadrmas Eye Centers P C | Ophthalmology | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2006-11-21 |
| 1518907716 | Paul Mcelroy | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2006-06-07 |
| 1013970292 | Elizabeth Wittenstein | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2006-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| 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 |
|---|---|---|---|---|
| 1639778996 | Angela Gaynor | Social Worker | 68 Nautical Way, Plymouth, MA 02360-8611 | 2020-10-19 |
| 1649888637 | Look Within Counseling LLC | Social Worker | 1098 Ann Arbor Rd W # 588, Plymouth, MI 48170-2129 | 2020-07-16 |
| 1982236808 | Resilience Coach, LLC | Social Worker | 705 S Main St Ste 101b, Plymouth, MI 48170-1060 | 2020-02-08 |
| 1275178436 | Jennifer A Abraham | Social Worker | 135 Rocky Hill Rd, Plymouth, MA 02360-5524 | 2019-11-12 |
| 1073164349 | Alishia Ebel Lmsw LLC | Social Worker | 496 W Ann Arbor Trl Ste 106, Plymouth, MI 48170-6262 | 2019-09-26 |
| 1366926206 | Elizabeth Paronich | Social Worker | 9 Hibiscus Ln, Plymouth, MA 02360-5344 | 2018-09-17 |
| 1992288609 | Robert Eisenstein | Social Worker | 15 Gallagher Dr, Plymouth, MA 02360-1407 | 2018-09-09 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1003398645 | Judith A Gonsalves | Social Worker | 36 Cordage Park Cir Ste 326, Plymouth, MA 02360-7320 | 2018-08-30 |
| Find all providers in PLYMOUTH | ||||
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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.