KELLY STEPHENS (NPI# 1770943060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770943060 |
| Entity Type | Individual |
| Full Name | KELLY STEPHENS |
| Practice Address |
194 Fountain Lake Dr S Shelbyville IN 46176-9780 |
| Practice Telephone | 3176046924 |
| Mailing Telephone | 3176046924 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457981938 | Kelly Grant Stephens | Marriage & Family Therapist | 4200 Northside Pkwy Nw Bldg 6, Atlanta, GA 30327-3007 | 2020-01-23 |
| 1013552512 | Kelly Stephens | Specialist/Technologist | 1 North Stadium Dr, Baton Rouge, LA 70803-0001 | 2019-11-08 |
| 1306378088 | Kelly Pollington Stephens | Dental Hygienist | 506 N Spruce St, Townsend, MT 59644-2014 | 2017-03-31 |
| 1285240291 | Kelly Stephens | Physical Therapy Assistant | 100 Dogwood Dr, Philipsburg, PA 16866-1982 | 2020-09-16 |
| 1750999207 | Kelly Elizabeth Stephens | Counselor | 210 2nd Ave S, Franklin, TN 37064-2650 | 2020-07-21 |
| 1053953919 | Kelly Nicole Stephens | Nurse Practitioner | 101 Hospital Center Blvd, Stafford, VA 22554-6200 | 2019-10-11 |
| 1588113831 | Kelly Stephens | Nurse Practitioner | 7302 S Yale Ave, Tulsa, OK 74136-7027 | 2016-09-28 |
| 1689014219 | Kelly A Stephens | Physical Therapy Assistant | 6106 Health Center Ln, Fredericksburg, VA 22407-6687 | 2013-06-27 |
| 1487929675 | Kelly Erin Stephens | Occupational Therapist | 545 Boylston St, Boston, MA 02116-3606 | 2012-03-20 |
| 1558657320 | Kelly Marie Stephens | Social Worker | 2 Lee St, Suite A, Newnan, GA 30263-1915 | 2011-06-21 |
| Street Address |
194 FOUNTAIN LAKE DR S |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176-9780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
| 1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
| 1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
| 1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| Find all providers in zip 46176 | ||||
| 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 |
|---|---|---|---|---|
| 1760048268 | Maria Fairbourn | Social Worker | 7012 Beamtree Dr, Shelbyville, KY 40065-6328 | 2019-05-10 |
| 1063901775 | Jennifer Michelle Warawa | Social Worker | 600 Vawter Ln, Shelbyville, KY 40065-7363 | 2018-05-08 |
| 1124377254 | Judith Reisz Burk | Social Worker | 544 Main St, Suite 3, Shelbyville, KY 40065-1120 | 2012-09-05 |
| 1790050383 | Mary Margaret Hubbell | Social Worker | 2130 Wilmington Blvd, Shelbyville, IN 46176-8525 | 2012-03-14 |
| 1174819247 | Kimberly Micheline English | Social Worker | 610 N Brittain St, Shelbyville, TN 37160-3402 | 2011-06-27 |
| 1538297296 | Sherry J Walker | Social Worker | 604 S Wall St, Shelbyville, TN 37160-3797 | 2007-03-02 |
| 1083782114 | Victoria A Harris | Social Worker | 54 W Broadway St Ste 6, Shelbyville, IN 46176-1267 | 2006-11-30 |
| 1942392188 | Fran S Neal | Social Worker | 931 Main Street, Shelbyville, KY 40065 | 2006-09-28 |
| 1699881987 | Angela C Nobles | Social Worker | 323 W Franklin St, Shelbyville, IN 46176-1113 | 2006-08-21 |
| 1417932062 | David Edward Hansen | Social Worker | 7 East Hendricks Street, Shelbyville, IN 46176-2124 | 2005-12-07 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
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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.