MR. KEVIN M KELLY (NPI# 1740330992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740330992 |
| Entity Type | Individual |
| Full Name | MR. KEVIN M KELLY |
| Credential | LCSW |
| Practice Address |
951 Niagara Street Drug & Alcohol Abuse Service Program Buffalo NY 14213 |
| Practice Telephone | 7168835344 |
| Practice Fax Number | 7168841758 |
| Mailing Telephone | 7168835344 |
| Mailing Fax Number | 7168841758 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 065920-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
078200-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255681 | Kevin Michael Kelly | Pharmacist | 704 Fairview Rd, Simpsonville, SC 29680-7117 | 2019-10-04 |
| 1326528787 | Kevin Howard Kelly | Marriage & Family Therapist | 5272 S Shamrock Cir, Kearns, UT 84118-7007 | 2018-08-15 |
| 1952848525 | Kevin Kelly | Social Worker | 1010 Delafield Rd Rm 1a105, Pittsburgh, PA 15215-1802 | 2017-01-20 |
| 1912300435 | Kevin Michael Kelly | Occupational Therapist | 1287 Cedar Shoals Dr Apt 718, Athens, GA 30605-3596 | 2014-09-29 |
| 1376972943 | Kevin Joseph Kelly | Nurse Practitioner | 117 E North 1st St, Roby, TX 79543-2354 | 2013-11-05 |
| 1801006515 | Kevin Michael Kelly | Chiropractor | 20 Summer St, Rockland, ME 04841-2918 | 2007-05-23 |
| 1184762627 | Kevin George Kelly | Nurse Practitioner | 331 North Ave, Wood Ridge, NJ 07075-2035 | 2007-02-04 |
| 1760597421 | Kevin James Kelly | Psychologist | 2800 Cornerstone Drive, Suite 110, Pagosa Springs, CO 81147 | 2006-08-20 |
| 1619984309 | Kevin William Kelly | Psychologist | 2013 State Street, East Petersburg, PA 17520-1216 | 2006-08-02 |
| 1730116625 | Kevin M Kelly | Emergency Medicine | 310 Greenview Way, Bowling Green, KY 42103-8767 | 2006-06-27 |
| Street Address |
951 NIAGARA STREET DRUG & ALCOHOL ABUSE SERVICE PROGRAM |
| City | BUFFALO |
| State | NY |
| Zip Code | 14213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750471280 | Brenda Brown | Social Worker | 951 Niagara Street, Lower West Side, Buffalo, NY 14213 | 2006-10-13 |
| 1861916710 | Katherine Mejia | Student in an Organized Health Care Education/Training Program | 951 Niagara Street, Buffalo, NY 14213 | 2017-08-02 |
| 1801316203 | Carlos Fernandez | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2017-06-27 |
| 1184069486 | Michelle Criswell | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2013-05-01 |
| 1639426554 | Gerianne Wasinger | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2012-08-09 |
| 1558622589 | Phillip Santiago | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2012-06-06 |
| 1669748513 | Jennifer Melendez | Counselor | 951 Niagara Street, Buffalo, NY 14213 | 2012-03-26 |
| 1811134257 | Adolescent Services | Community/Behavioral Health | 951 Niagara Street, Adolescent Services, Buffalo, NY 14213 | 2009-01-07 |
| 1841448958 | Mary F. Beyer | Counselor | 951 Niagara Street, Drug & Alcohol Abuse Services Program, Buffalo, NY 14213 | 2008-09-03 |
| 1306093414 | Levada Bamba | Counselor | 951 Niagara Street, Adolescent Program, Buffalo, NY 14213 | 2008-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891311445 | Shyana C Broughton | Doula | 145 16th Street, Back Cottage, Buffalo, NY 14213 | 2020-06-19 |
| 1366076663 | Wny Community Health Centers, Inc | Internal Medicine | 135 Grant Street, Buffalo, NY 14213 | 2020-02-25 |
| 1700449790 | Sumail Bhogal | Student in an Organized Health Care Education/Training Program | Dept of Orthopaedic Surgery, 3471 Fifth Avenue Kaufmann Medical Bldg, Suite 1010, Pittsburgh, PA 14213 | 2019-04-16 |
| 1104335066 | Hussein A Waris | Driver | 155 W Delavan Ave, Buffalo, NY 14213 | 2017-09-23 |
| 1154849305 | Yasmin Rivera | Case Manager/Care Coordinator | 368 Rhode Island St, Apt 2, Buffalo, NY 14213 | 2017-09-07 |
| 1912250978 | Cindy Schmidt | Registered Nurse | 370 Normal Avenue, Buffalo, NY 14213 | 2012-10-16 |
| 1023328747 | Lynn M Lent | Registered Nurse | 1300 Niagara Street, Buffalo, NY 14213 | 2010-10-15 |
| 1558590356 | Susan Lorraine Rozek | Pharmacist | 400 Forest Ave., Buffalo, NY 14213 | 2009-07-14 |
| 1669635959 | John R Metzen | Dentist | 463 W Delavan Ave, Buffalo, NY 14213 | 2008-07-07 |
| 1669653267 | Rona D'aniello | Dietitian, Registered | 184 Barton Street, Jericho Road Ministries, Buffalo, NY 14213 | 2007-11-25 |
| Find all providers in zip 14213 | ||||
| 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 |
|---|---|---|---|---|
| 1841804713 | Matthew A Tice | Social Worker | 50 Wyoming Ave, Buffalo, NY 14215-4022 | 2020-09-08 |
| 1700404621 | Matthew H Davis Lcsw, Pllc | Social Worker | 90 Sylvan Pkwy, Buffalo, NY 14228-1109 | 2020-07-07 |
| 1093332496 | Sarah Michelle Karpinski | Social Worker | 28 Parkview Ter, Buffalo, NY 14225-4010 | 2020-07-01 |
| 1558987610 | Lianna Kay Zullich | Social Worker | 70 Barker Street, Buffalo, NY 14209-2013 | 2020-06-24 |
| 1437787348 | Nina Marie Vandette | Social Worker | 221 Sundown Trl, Buffalo, NY 14221-2201 | 2020-03-28 |
| 1982230744 | Jess Nowak Jr. | Social Worker | 102 Marty Dr Ste 2, Buffalo, MN 55313-9345 | 2020-03-12 |
| 1639730377 | Eric Joseph Plotar | Social Worker | 975 Hertel Ave, Buffalo, NY 14216-2627 | 2019-06-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1326518416 | Kayla Marie Rogers | Social Worker | 131 Dewitt St, Buffalo, NY 14213-1313 | 2018-11-30 |
| 1376073668 | Anna Shurmatz L.L.C. | Social Worker | 2495 Main St Ste 418, Buffalo, NY 14214-2154 | 2017-06-19 |
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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.