MRS. KELLY ROSE DUDLEY (NPI# 1801310081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801310081 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ROSE DUDLEY |
| Credential | LMSW |
| Practice Address |
215 S Barnes Ave Springfield MO 65802-2204 |
| Practice Telephone | 4178643404 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781492 | Kelly Lemieux Dudley | Nurse Practitioner | 250 Arsenal St, Augusta, ME 04330-5742 | 2015-09-28 |
| 1336498880 | Kelly N Dudley | Counselor | 2345 S Lynhurst Dr, Suite 112, Indianapolis, IN 46241 | 2012-08-30 |
| Street Address |
215 S BARNES AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154478659 | Donna Devries | Speech-Language Pathologist | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2007-01-05 |
| 1508419250 | Cody Osborn | Counselor | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2019-07-22 |
| 1881093979 | Ozarks Area Community Action Corporation | Nurse Practitioner | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2014-08-14 |
| 1891970828 | Kerri Ortlieb | Counselor | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2008-01-09 |
| 1790834919 | Wanda Means | Speech-Language Pathologist | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2007-01-09 |
| 1548317043 | Gayle Brooker | Speech-Language Pathologist | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2007-01-05 |
| 1548317050 | Ozarks Area Community Action Corporation Head Start | Counselor | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2007-01-05 |
| 1780762625 | Paulette J. Garamillo | Nurse Practitioner | 215 S Barnes Ave, Springfield, MO 65802-2204 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513193 | Abigayle Anastasia Augustus | Social Worker | 161 Saffron Cir, Springfield, MA 01129-1514 | 2020-09-22 |
| 1063034742 | Ann Sarah Engel | Social Worker | 2101 E Watch Ave Apt 6, Springfield, IL 62702-6802 | 2020-05-15 |
| 1225670912 | Barbara A Otto | Social Worker | 3047 Willow Rd, Springfield, OH 45502-9073 | 2019-10-14 |
| 1326697509 | Nathalie Orelien | Social Worker | 267 Beacon Cir, Springfield, MA 01119-2047 | 2019-09-10 |
| 1306401617 | Laurie T Lauture-best | Social Worker | 25 Laurence St, Springfield, MA 01104-2607 | 2019-05-02 |
| 1881157121 | Amber Renee Hartman Ortez | Social Worker | 1514 S Fountain Ave, Springfield, OH 45506-2718 | 2019-04-12 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1740761931 | Laurie Sullivan | Social Worker | 112 Industry Ave, Springfield, MA 01104-3349 | 2018-08-24 |
| 1427546076 | Terrisue Jean Malone | Social Worker | 1918 Mechanicsburg Rd Apt Suite, Springfield, OH 45503-3147 | 2018-04-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
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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.