MRS. KELLY MARIE O'DONNELL (NPI# 1790249464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790249464 |
Entity Type | Individual |
Full Name | MRS. KELLY MARIE O'DONNELL |
Credential | LCSW |
Practice Address |
2695 E Industrial Dr Flagstaff AZ 86004-6109 |
Practice Telephone | 9287145295 |
Practice Fax Number | 9285270028 |
Mailing Telephone | 9287145295 |
Enumeration Date | 2019-01-28 |
Last Update Date | 2019-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-17606 | AZ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316251689 | Kelly N O'donnell | Speech-Language Pathologist | 5831 S. Rutherford Ave., Chicago, IL 60638 | 2010-07-29 |
1508495912 | Kelly O'donnell | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-04-07 |
1114551397 | Kelly O'donnell | Licensed Practical Nurse | 1 Mount Mckinley Ave, Farmingville, NY 11738-2107 | 2020-02-27 |
1689156143 | Kelly O'donnell | Social Worker | 25 Railroad Sq, Haverhill, MA 01832-5721 | 2018-08-31 |
1487101242 | Kelly O'donnell | Specialist/Technologist | 1441 Schoenersville Rd, Bethlehem, PA 18018-1864 | 2016-09-08 |
1215388822 | Kelly O'donnell | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2016-06-24 |
1174999635 | Kelly O'donnell | Counselor | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2015-08-18 |
1831317759 | Kelly Kay O'donnell | Occupational Therapist | 1201 Park St, Bellevue, IA 52031-1911 | 2007-04-23 |
1619997772 | Kelly O'donnell | Anesthesiology | 166 Defense Hwy, Suite 101, Annapolis, MD 21401-8919 | 2006-07-20 |
Street Address |
2695 E INDUSTRIAL DR |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86004-6109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447220207 | Valerie D Guernsey | Psychiatry & Neurology | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2006-01-25 |
1760959399 | James Kip W Moyer IIi | Marriage & Family Therapist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2018-11-01 |
1588193619 | Sirene Rose Lipschutz | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2017-06-12 |
1164892485 | Lyna Munoz-morris | Counselor | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2015-09-29 |
1033551908 | Genoa Healthcare, LLC | Pharmacy | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2013-07-22 |
1659655843 | Lenore A Goetzke | Pharmacist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2011-10-05 |
1831473024 | Melinda Dowers | Pharmacist | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2011-10-05 |
1730483082 | Elisa Stephens | Registered Nurse | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2010-12-30 |
1457686800 | Tiffany Trunnell | Counselor | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2009-10-02 |
1952536708 | Kimberly Shumway Miner | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2009-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
Find all providers in zip 86004 |
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 |
---|---|---|---|---|
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1790258127 | Shawnee Mcdowell | Social Worker | 2604 N Fox Run Dr, Flagstaff, AZ 86004-7682 | 2019-01-08 |
1477028314 | Northern Arizona University | Social Worker | Building 47 A South San Francisco St, Flagstaff, AZ 86011-0001 | 2018-10-08 |
1245711845 | Connie R Krug | Social Worker | 16 E Route 66 Ste 203, Flagstaff, AZ 86001-5777 | 2018-08-22 |
1437640638 | Craig A Davis Lcsw Pllc | Social Worker | 2150 N Rio De Flag Dr, Flagstaff, AZ 86004-7503 | 2018-05-23 |
1457850984 | Marjolein Sieczkowski | Social Worker | 125 E Elm Ave Ste 203, Flagstaff, AZ 86001-3261 | 2018-02-10 |
1639414964 | Ronald Evan Paul | Social Worker | 2813 N Jamison Blvd, Flagstaff, AZ 86004-3814 | 2012-11-27 |
1508114919 | Rhonda Lynn Barnes | Social Worker | 4770 Camino De Los Vientos, Flagstaff, AZ 86004-0901 | 2012-08-16 |
1053538603 | Cherise Elizabeth Grimit Hovis | Social Worker | 6145 E Treadway Trl, Flagstaff, AZ 86004-1038 | 2007-04-18 |
1346306933 | Caecilia M Winnubst | Social Worker | 652 N Amberwood St, Flagstaff, AZ 86004-5805 | 2006-12-28 |
Find all providers in FLAGSTAFF |
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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.