VICTORIA J KELLY (NPI# 1801125844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801125844 |
| Entity Type | Individual |
| Full Name | VICTORIA J KELLY |
| Credential | LCSW |
| Practice Address |
631 S Orchard Ave Ukiah CA 95482-5011 |
| Mailing Address |
Po Box 2077 Ukiah CA 95482-2077 |
| Practice Telephone | 7074672010 |
| Mailing Telephone | 7074672010 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
80444 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 780 S Dora St, Ukiah, CA 954825348 | 7074722922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194014555 | Victoria E Kelly | Dietitian, Registered | 65 Twin Ponds Dr, Kingston, NY 12401-6432 | 2011-04-06 |
| 1275708273 | Victoria Helen Kelly | Physical Therapist | 4214 N Roxboro St Ste 100, Durham, NC 27704-1826 | 2008-04-30 |
| 1134613003 | Victoria Elizabeth Kelly | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2018-06-14 |
| 1457705519 | Victoria Kelly | Peer Specialist | 1599 State St, Salem, OR 97301-4255 | 2016-04-14 |
| 1366622193 | Victoria Marie Kelly | Internal Medicine | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2007-11-09 |
| 1972513299 | Victoria Calvina Kelly | Psychiatry & Neurology | 3125 Transverse Dr., Toledo, OH 43614-5811 | 2006-08-09 |
| 1255324513 | Victoria Hausen Kelly | Nurse Practitioner | 934 Center St, Elgin, IL 60120-2125 | 2005-08-23 |
| Street Address |
631 S ORCHARD AVE |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255478442 | Harvey Baumoel | Case Manager/Care Coordinator | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2007-01-30 |
| 1952911554 | Glenn Limosnero | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1134739766 | Miles Ruttinger | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-08-07 |
| 1972135523 | Randy Owen | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2020-02-11 |
| 1396392932 | Shelley Mccoy | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2019-08-19 |
| 1134787344 | Dusty Stokes | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2019-06-03 |
| 1801367727 | Chelsea Delvecchio | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2018-12-17 |
| 1295268217 | Andre Epstein | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2017-04-06 |
| 1881043776 | Alissa L. Davis-ku | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-06-10 |
| 1386004679 | Jeremy Livingston | Counselor | 631 S Orchard Ave, Ukiah, CA 95482-5011 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| 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 |
|---|---|---|---|---|
| 1023416302 | Terence James Stoekl | Social Worker | 425 E. Gobbi St., #74, Ukiah, CA 95482-5525 | 2014-12-18 |
| 1346592946 | Brenda Flynn Clark | Social Worker | 601n State St, Ukiah, CA 95482-4026 | 2012-10-05 |
| 1013277292 | Caroline Vidal | Social Worker | 290 E. Gobbi St., Ukiah, CA 95482 | 2012-05-22 |
| 1821369604 | Darren Smallen | Social Worker | 747 South State Street, Mendicino County, Ukiah, CA 95482 | 2012-01-25 |
| 1215114624 | Susan Margo Frank | Social Worker | 518 S School St Ste 102, Ukiah, CA 95482-5480 | 2008-01-28 |
| 1942416474 | Loren Frank Mcgarvey | Social Worker | 1480 Sanford Ranch Rd, Ukiah, CA 95482-5247 | 2007-05-14 |
| 1093853251 | Joan C Rousseau | Social Worker | 350 E. Gobbi, Ukiah, CA 95482 | 2007-02-01 |
| 1912058090 | Kevin Louis Gutfeld | Social Worker | 216 W Perkins St Ste 207, Ukiah, CA 95482-4859 | 2007-01-15 |
| 1609961093 | Jennifer Bennett-jordan | Social Worker | 216 W. Perkins St., Ste. 208, Ukiah, CA 95482-4859 | 2006-10-03 |
| 1699876920 | Terrance Harold Kennedy | Social Worker | 518 S School St, Ste. 203, Ukiah, CA 95482-5479 | 2006-09-26 |
| Find all providers in UKIAH | ||||
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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.