MRS. KELLEY MARIE MARRON (NPI# 1720250293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720250293 |
| Entity Type | Individual |
| Full Name | MRS. KELLEY MARIE MARRON |
| Other Name | MS. KELLEY MARIE GARBINSKI |
| Credential | LCSW |
| Practice Address |
1765 Goucher St Ste 150 Johnstown PA 15905-1101 |
| Practice Telephone | 8145358586 |
| Practice Fax Number | 8142544170 |
| Mailing Telephone | 8145358586 |
| Mailing Fax Number | 8142544170 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2017-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW016694 | PA | Behavioral Health & Social Service Providers |
| Street Address |
1765 GOUCHER ST STE 150 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982654935 | Mary B Berge | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2006-05-11 |
| 1356888341 | Timothy J Carnevale | Counselor | 1765 Goucher St, Johnstown, PA 15905-1101 | 2017-01-27 |
| 1801246889 | Sabrina Steele | Contractor | 1765 Goucher St, 150, Johnstown, PA 15905-1101 | 2016-06-21 |
| 1477987451 | Kristin Faust | Counselor | 1765 Goucher St, Ste 150, Johnstown, PA 15905-1101 | 2013-08-27 |
| 1063783678 | Dr. Mary Berge and Associates, LLC | Community/Behavioral Health | 1765 Goucher St, Ste 150, Johnstown, PA 15905-1101 | 2012-01-13 |
| 1790078087 | Brad Croyle | Counselor | 1765 Goucher St, Suite 1, Johnstown, PA 15905-1101 | 2011-05-19 |
| 1245535954 | Heather Lynn Hay | Counselor | 1765 Goucher St, Johnstown, PA 15905-1101 | 2011-01-12 |
| 1659548725 | Randall Jay Harris | Psychologist | 1765 Goucher St, Johnstown, PA 15905-1101 | 2008-05-08 |
| 1770505034 | Penny Denise Hoffman | Social Worker | 1765 Goucher St, Johnstown, PA 15905-1101 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| 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 |
|---|---|---|---|---|
| 1780281857 | Alysha Mary Kennedy | Social Worker | 338 N Comrie Ave, Johnstown, NY 12095-1064 | 2020-10-02 |
| 1437593142 | Daniel J Ayres | Social Worker | 1190 Florida Ave, Johnstown, PA 15902-3905 | 2013-04-24 |
| 1487992723 | Carla Smith | Social Worker | 425 Luther Rd, Johnstown, PA 15904-2741 | 2013-01-22 |
| 1942556949 | Adam Albert Kleinman | Social Worker | 2517 Bedford St, Johnstown, PA 15904-1424 | 2012-07-27 |
| 1922241637 | Jody Gil | Social Worker | 11 E Madison Ave, Johnstown, NY 12095-3023 | 2009-04-10 |
| 1073773990 | Carlene Dawn Gibson | Social Worker | 307 Market Street, Family Therapy Services, Johnstown, PA 15901-1701 | 2008-06-13 |
| 1154593325 | Kerry Elizabeth Harper | Social Worker | 450 Schoolhouse Rd, Student Union G-10, Johnstown, PA 15904-2912 | 2008-03-28 |
| 1316116767 | Tracy Tredennick | Social Worker | 865 Eisenhower Blvd., Johnstown, PA 15904-3327 | 2008-02-29 |
| 1831296805 | Cynthia L Aronson | Social Worker | 171 Co Hwy 142a, Johnstown, NY 12095-3725 | 2006-09-20 |
| 1174562342 | Stephanie Bakyta Baldwin | Social Worker | 55 E Main St, Suite 220, Johnstown, NY 12095-2633 | 2006-06-05 |
| Find all providers in JOHNSTOWN | ||||
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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.