DIANE KELLEY (NPI# 1578969226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578969226 |
| Entity Type | Individual |
| Full Name | DIANE KELLEY |
| Credential | LCSW |
| Practice Address |
21300 Coleman Blvd Boca Raton FL 33428-1757 |
| Mailing Address |
1848 Se 1st Ave Fort Lauderdale FL 33316-2875 |
| Practice Telephone | 6318523333 |
| Practice Fax Number | 5618523332 |
| Mailing Telephone | 9548859500 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW15657 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 S Dixie Hwy, Boca Raton, FL 334327463 | 5614088500 | |
| 2151 W Hillsboro Blvd, Deerfield Beach, FL 334421200 | 9544260410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1285845453 | Diane E Kelley | Massage Therapist | 6422 E Main St, Suite 102, Reynoldsburg, OH 43068-2358 | 2007-05-26 |
| 1003998873 | Diane Lee Kelley | Nurse Practitioner | 1276 North Locust Ave., First Floor Suite D, Florence, AL 35633-4425 | 2006-10-20 |
| 1194819797 | Diane Renee Kelley | Psychologist | 1021 N Sepulveda Blvd, Suite H, Manhattan Beach, CA 90266-5965 | 2006-10-03 |
| 1801046685 | Diane Lyn Kelley | Counselor | 27 Hollis St, Framingham, MA 01702-8615 | 2008-09-29 |
| 1295813012 | Diane M. Kelley | Obstetrics & Gynecology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| Street Address |
21300 COLEMAN BLVD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669437406 | Debra Marla Lipson | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-04-17 |
| 1780007872 | Aaryn Post Gottesfeld | Psychologist | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2014-01-27 |
| 1003970708 | Susan R Riskin | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-2175 | 2006-12-20 |
| 1467566026 | Susan Ruth Davis | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-08-19 |
| 1548297203 | Laurie E Intondi | Counselor | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-06-27 |
| 1780631903 | Joan Lenore Ensink | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-05-31 |
| 1932165917 | Ann Francesca Garfield | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-04-26 |
| 1134184450 | Howard Andrew Horowitz | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-04-19 |
| 1154386456 | Dianne Mindy Matthew | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-04-19 |
| 1144285321 | David Joseph Schlagter | Social Worker | 21300 Coleman Blvd, Boca Raton, FL 33428-1757 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| 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 |
|---|---|---|---|---|
| 1386241420 | Nicole Rothenberg | Social Worker | 6832 Palmetto Cir S Apt 104, Boca Raton, FL 33433-3506 | 2020-10-01 |
| 1114534831 | Vritti Samtani | Social Worker | 5650 Camino Del Sol Apt 307, Boca Raton, FL 33433-6544 | 2020-09-27 |
| 1669084323 | Danielle Hadar | Social Worker | 21689 Wessex Way, Boca Raton, FL 33486-8622 | 2020-08-23 |
| 1770194573 | Danielle Barone | Social Worker | 3510 Nw 26th Ave, Boca Raton, FL 33434-3424 | 2020-08-14 |
| 1275143133 | Gail E Rattner | Social Worker | 2062 Wolverton D, Boca Raton, FL 33434-4573 | 2020-08-05 |
| 1093325243 | Revamed Center for Emotional Wellbeing, LLC | Social Worker | 7000 W Palmetto Park Rd Ste 201, Boca Raton, FL 33433-3430 | 2020-08-03 |
| 1669090890 | Lisa Ann Mansell | Social Worker | 2911 Nw 27th Ave, Boca Raton, FL 33434-3638 | 2020-07-14 |
| 1306464466 | Traci Pauline Schreibman | Social Worker | 8527 Casa Del Lago Bldg 35a, Boca Raton, FL 33433-2107 | 2020-07-06 |
| 1043849615 | Melanie Deckman | Social Worker | 5500 N Military Trl Apt 403, Boca Raton, FL 33496-3565 | 2020-04-06 |
| 1881228807 | Yocheved Gotkin | Social Worker | 7100 Camino Real, Boca Raton, FL 33433-5510 | 2020-02-28 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.