KELLY ROBERTS (NPI# 1679090534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679090534 |
| Entity Type | Individual |
| Full Name | KELLY ROBERTS |
| Credential | LCSW |
| Practice Address |
2520 Hampton Rd Ste 18 Erie PA 16502-2073 |
| Mailing Address |
5734 Home Rd Erie PA 16509-3233 |
| Practice Telephone | 8148125491 |
| Mailing Telephone | 8148125491 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW0196514 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2221 Peninsula Dr, Erie, PA 165062954 | 8148125491 | |
| 4950 W 23rd St Ste 1, Erie, PA 165065802 | (814) 459-2755 | 8144564873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568912129 | Kelly M Roberts | Nurse Practitioner | 555 W Pine Street, Farmington, MO 63640 | 2016-10-07 |
| 1912353160 | Kelly Roberts | Peer Specialist | 405 Ne Avondale Ave, Bartlesville, OK 74006-1702 | 2016-05-06 |
| 1861893075 | Kelly C. Roberts | Specialist/Technologist | 7676 Canberra Way, Riverside, CA 92508-6048 | 2014-09-07 |
| 1992024152 | Kelly Roberts | Psychologist | 5648 William Penn Hwy, Export, PA 15632 | 2010-05-26 |
| 1477706109 | Kelly S Roberts | Occupational Therapist | 25 Van Buren St, Albany, NY 12206-1222 | 2008-10-26 |
| 1508908617 | Kelly F Roberts | Social Worker | 704 North Hwy 64, Manteo, NC 27954 | 2007-02-13 |
| 1396768719 | Kelly M Roberts | Audiologist | 119 Se Wilson Ave, Bend, OR 97702-1714 | 2006-07-26 |
| 1699382465 | Kelly Roberts | Student in an Organized Health Care Education/Training Program | 4750 W Oakey Blvd Ste 3a, Las Vegas, NV 89102-1535 | 2020-09-25 |
| 1609410133 | Kelly Elizabeth Roberts | Speech-Language Pathologist | 52 3rd Ave, Brentwood, NY 11717-4651 | 2019-10-28 |
| 1538611934 | Kelly Roberts | Nurse Practitioner | 3727 Friendsville Rd, Unit 200, Wooster, OH 44691-7131 | 2016-11-01 |
| Street Address |
2520 HAMPTON RD STE 18 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| 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 |
|---|---|---|---|---|
| 1073092243 | Sasia Jones | Social Worker | 2811 Wayne St, Erie, PA 16504-1254 | 2018-08-08 |
| 1760975858 | Alicia Elizabeth Mcgill | Social Worker | 4402 Peach St Ste 6, Erie, PA 16509-1358 | 2018-06-13 |
| 1467951988 | Julie M Mannarino | Social Worker | 3250 W Lake Rd Ste 2, Erie, PA 16505-3691 | 2018-02-10 |
| 1043729692 | Kristen A Schenker | Social Worker | 150 E 8th St Fl 1, Erie, PA 16501-1270 | 2017-09-27 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1912366782 | Rachel A. Lackovic, Lcsw LLC | Social Worker | 807 W 26th St, Suite 3, Erie, PA 16508-3205 | 2016-02-22 |
| 1336512466 | Christine Harbison | Social Worker | 1624 Westin Dr, Erie, CO 80516-7246 | 2015-11-11 |
| 1134561210 | Lynn Diane Grychowski | Social Worker | 4301 Lancaster Road, Erie, PA 16506-5271 | 2013-07-18 |
| 1780981621 | Debra K Brown | Social Worker | 5535 Peach Street, Lecom Senior Living Center, Erie, PA 16509 | 2011-02-11 |
| 1902138068 | Warren Adam Levy | Social Worker | 3939 W Ridge Rd Ste B11, Erie, PA 16506-1899 | 2010-02-01 |
| Find all providers in ERIE | ||||
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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.