KELLY JOHNSON-SALLY (NPI# 1528523180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528523180 |
| Entity Type | Individual |
| Full Name | KELLY JOHNSON-SALLY |
| Practice Address |
490 Wheeler Rd Ste 102 Hauppauge NY 11788-4367 |
| Mailing Address |
490 Wheeler Rd Hauppauge NY 11788-4361 |
| Practice Telephone | 6315888102 |
| Mailing Telephone | 6315888102 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 109140 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03299096 | 05 |
| Street Address |
490 WHEELER RD STE 102 |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| 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 |
|---|---|---|---|---|
| 1588123681 | Caitlin Dunne | Social Worker | 272 Bow Dr, Hauppauge, NY 11788-1624 | 2019-03-18 |
| 1639640394 | Elena Beth Licandro | Social Worker | 1324 Motor Pkwy Ste 104, Hauppauge, NY 11749-5226 | 2018-12-06 |
| 1336673318 | Cornerstone Developmental Psychology | Social Worker | 750 Vets Hwy, Suite 202, Hauppauge, NY 11788-2943 | 2017-04-17 |
| 1528517927 | Sheila B Goloboy | Social Worker | 9 Plantation Dr, Hauppauge, NY 11788-2700 | 2016-09-26 |
| 1215331079 | New Horizons Lcsw, PC | Social Worker | 12 Gatewood Dr, Hauppauge, NY 11788-1011 | 2014-10-22 |
| 1902122070 | Janine Roni Garner | Social Worker | 155 Wedgewood Dr, Hauppauge, NY 11788-3417 | 2010-04-14 |
| 1932312113 | Elaine M Mcquillan | Social Worker | North County Complex Clinic Youth Adult Program, Bldg 151, Hauppauge, NY 11788 | 2007-05-07 |
| 1689890402 | Sage P Gargano | Social Worker | 725 Veterans Memorial Hwy, Bldg 151 North County Complex, Hauppauge, NY 11788 | 2007-04-18 |
| 1396734257 | Lawrence B Greenberg | Social Worker | 330 Motor Pkwy, Suite 204, Hauppauge, NY 11788-5104 | 2005-10-13 |
| 1659979607 | Anthony J Gibson | Social Worker | 90 Adams Ave, Hauppauge, NY 11788 | 2020-10-13 |
| Find all providers in HAUPPAUGE | ||||
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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.