KELLY O REID (NPI# 1881708311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881708311 |
| Entity Type | Individual |
| Full Name | KELLY O REID |
| Credential | LCSW |
| Practice Address |
222 E Willow Ave Wheaton IL 60187-5426 |
| Mailing Address |
1017 Plum Hollow Ct Naperville IL 60563-2302 |
| Practice Telephone | 6307844839 |
| Practice Fax Number | 6306825276 |
| Mailing Telephone | 6307844839 |
| Mailing Fax Number | 6306825276 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER NUMBER | 0032244312 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154781680 | Kelly Reid | Licensed Practical Nurse | 26668 Summerdale Dr, Southfield, MI 48033-2234 | 2016-02-25 |
| 1407992795 | Kelly Dawn Reid | Registered Nurse | 1708 Spruce Dr, High Ridge, MO 63049-1867 | 2007-01-30 |
| 1861415424 | Kelly Lynn Reid | Optometrist | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2006-07-25 |
| 1093286494 | Kelly Ann Reid | Speech-Language Pathologist | 1200 Mira Mar Ave, Medford, OR 97504-8546 | 2018-12-10 |
| 1780933986 | Kelly Reid | Counselor | 793 Old Route 119 Hwy N, Indiana, PA 15701-1372 | 2012-09-04 |
| 1982995791 | Kelly Reid | Nurse Practitioner | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2011-04-27 |
| 1730383290 | Kelly M Reid | Psychiatry & Neurology | 505 Bay Ave, Suite #202, Somers Point, NJ 08244-2563 | 2007-06-11 |
| Street Address |
222 E WILLOW AVE |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437181641 | Metropolitan Family Service | Clinic/Center | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2006-07-07 |
| 1336762392 | Susan Smith | Social Worker | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2020-05-26 |
| 1174145254 | Vannesa Jeannet Ocampo | Counselor | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2020-05-12 |
| 1063058410 | Yessca Chanza-ocampo | Counselor | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2019-11-20 |
| 1184269029 | Ana Fajardo | Social Worker | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2019-11-14 |
| 1982248167 | Kathryn Jane Sampalis | Social Worker | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2019-10-31 |
| 1679120166 | Brenda J Love | Counselor | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2019-08-20 |
| 1760037592 | Hannah Sedlacek | Social Worker | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2019-08-08 |
| 1356994552 | Katy Sue Bray | Social Worker | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2019-07-17 |
| 1952963738 | Christine Alejandra Diaz Luna | Counselor | 222 E Willow Ave, Wheaton, IL 60187-5426 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| 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 |
|---|---|---|---|---|
| 1891394425 | Christine Evans | Social Worker | 1021 E Illinois St, Wheaton, IL 60187-5727 | 2020-10-24 |
| 1003432345 | Kathryn P Bach | Social Worker | 1608 Cavalier Ct, Wheaton, IL 60189-3106 | 2020-06-23 |
| 1245878438 | Lauren Strong | Social Worker | 1749 S Naperville Rd Ste 106, Wheaton, IL 60189-5892 | 2019-12-18 |
| 1730738808 | Tapestry Counseling, LLC | Social Worker | 107 N Hale St Fl 2, Wheaton, IL 60187-5117 | 2019-09-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1467987974 | Ebony Nicole Calloway | Social Worker | 11215 Georgia Ave, Apt 734, Wheaton, MD 20902-4644 | 2017-04-22 |
| 1891236980 | Eva Cozzi | Social Worker | 101 1/2 E Front St Ste 104, Wheaton, IL 60187-5334 | 2017-03-09 |
| 1336691211 | Lorena Audra Vaughn | Social Worker | 0n717 Knollwood Dr, Wheaton, IL 60187-3060 | 2016-10-26 |
| 1124416854 | Katie Cockrell | Social Worker | 2100 Manchester Rd Ste 1510, Wheaton, IL 60187-4561 | 2015-01-05 |
| 1649696832 | Larry Westenberg | Social Worker | 1225 S Lorraine Rd, Apt. 119, Wheaton, IL 60189-7064 | 2014-03-11 |
| Find all providers in WHEATON | ||||
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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.