MARY T KELLY (NPI# 1821329822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821329822 |
| Entity Type | Individual |
| Full Name | MARY T KELLY |
| Credential | LCSW |
| Practice Address |
719 E 17th St Cheyenne WY 82001-4711 |
| Practice Telephone | 3075090772 |
| Practice Fax Number | 3074264133 |
| Mailing Telephone | 3075090772 |
| Mailing Fax Number | 3073692370 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2017-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
366 | WY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106079100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844811 | Mary Elizabeth Kelly | Social Worker | 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110 | 2018-09-12 |
| 1215410790 | Mary Jane Kelly | Dietitian, Registered | 1046 E Elgenia Ave, West Covina, CA 91790-1318 | 2018-09-11 |
| 1073020590 | Mary Teresa Kelly | Counselor | 726 Cherryvale Rd, Boulder, CO 80303-2911 | 2018-01-05 |
| 1972040459 | Mary A Kelly | Registered Nurse | 116 N Lake Ave, Albany, NY 12206-2710 | 2017-01-23 |
| 1073904215 | Mary Kelly | Registered Nurse | 3145 State Route 718, Troy, OH 45373-8908 | 2015-02-10 |
| 1174924054 | Mary Kelly | Nurse Practitioner | 14435 15th Ave, Whitestone, NY 11357-2407 | 2014-09-10 |
| 1306058714 | Mary Catherine Kelly | Nurse Practitioner | 275 Riverside Ave, Riverside, CT 06878-2313 | 2007-05-06 |
| 1134340086 | Mary Kris Kelly | Nurse Practitioner | 1 Gustave L Levy Pl # 1030, New York, NY 10029-6500 | 2007-05-01 |
| 1518187772 | Mary Ann Kelly | Dietary Manager | 6448 Hallee Rd Ste 9, Joshua Tree, CA 92252-1908 | 2007-04-27 |
| 1003036583 | Mary Anne Kelly | Marriage & Family Therapist | 105 Sunnyside Ave, Piedmont, CA 94611-4419 | 2007-04-26 |
| Street Address |
719 E 17TH ST |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750560991 | David Scott Briggs | Counselor | 719 E 17th St, Cheyenne, WY 82001-4711 | 2007-10-24 |
| 1134665474 | Megan Mcghee | Social Worker | 719 E 17th St, Cheyenne, WY 82001-4711 | 2017-01-10 |
| 1407308893 | Melanie Hite | Counselor | 719 E 17th St, Cheyenne, WY 82001-4711 | 2016-11-01 |
| 1528464831 | Brandon Robert Dixon | Social Worker | 719 E 17th St, Cheyenne, WY 82001-4711 | 2014-11-13 |
| 1154687465 | Douglas Blocksma | Counselor | 719 E 17th St, Cheyenne, WY 82001-4711 | 2012-04-11 |
| 1427351873 | Mind Spa, PC | Psychologist | 719 E 17th St, Cheyenne, WY 82001-4711 | 2010-12-07 |
| 1477707321 | Sheri J Fluellen | Psychologist | 719 E 17th St, Cheyenne, WY 82001-4711 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| 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 |
|---|---|---|---|---|
| 1609410547 | Kirbie L Brown | Social Worker | 6610 Wilderness Trl, Cheyenne, WY 82001-6180 | 2019-11-04 |
| 1588138648 | Cheyenne Counseling, LLC | Social Worker | 2315 Dunn Ave Ste 6, Cheyenne, WY 82001-3214 | 2019-01-11 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1174015473 | Julia L Torres | Social Worker | 1603 Capitol Ave Ste 508, Cheyenne, WY 82001-4563 | 2018-06-01 |
| 1306380696 | Alexandra Gill | Social Worker | 3304 East 1-80 Service Rd., Cheyenne, WY 82009 | 2016-12-06 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| 1588107379 | Laura Powell-rousey | Social Worker | 821 E Pershing Blvd, Cheyenne, WY 82001 | 2016-11-28 |
| 1487109989 | Regina Dodson | Social Worker | 611 Broken Wheel Ct, Cheyenne, WY 82007-1673 | 2016-08-25 |
| 1609226331 | David Hand | Social Worker | 3032 Forest Dr, Cheyenne, WY 82001-5518 | 2016-06-14 |
| 1982051579 | Forrest Lien | Social Worker | 2232 Dell Range Blvd Ste 324, Cheyenne, WY 82009-4941 | 2016-05-24 |
| Find all providers in CHEYENNE | ||||
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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.