MS. KELLY WALSH (NPI# 1902838675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902838675 |
| Entity Type | Individual |
| Full Name | MS. KELLY WALSH |
| Credential | LISW |
| Practice Address |
8479 S. Mason Montgomery Road Suite 4 Mason OH 45040-4023 |
| Practice Telephone | 5134432180 |
| Practice Fax Number | 5137251141 |
| Mailing Telephone | 5134432180 |
| Mailing Fax Number | 5137251141 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1801129 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE GROUP NUMBER | 184607 | 01 |
| OH | 0364235 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649810136 | Kelly Alaina Walsh | Student in an Organized Health Care Education/Training Program | 289 Elm St Apt 62c, Medford, MA 02155-1068 | 2020-01-13 |
| 1518210210 | Kelly L Walsh | Speech-Language Pathologist | 4810 Ivy Ridge Dr Se, Unit 306, Smyrna, GA 30080-6660 | 2012-10-18 |
| 1063056802 | Kelly Walsh | Social Worker | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2019-11-05 |
| 1427692557 | Kelly Elizabeth Walsh | Recreation Therapist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2019-10-31 |
| 1225686934 | Kelly Walsh | Counselor | 115 Keating Dr, Belle Chasse, LA 70037-1629 | 2019-08-27 |
| 1790266195 | Kelly A Walsh | Occupational Therapist | 13900 Ne 3rd Ct, Miami, FL 33161-2834 | 2018-08-23 |
| 1013434927 | Kelly Ann Walsh | Nurse Practitioner | 317 E 34th St, New York, NY 10016-4974 | 2017-08-23 |
| 1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
| 1265989909 | Kelly Walsh | Registered Nurse | 24200 Chagrin Blvd, Beachwood, OH 44122 | 2016-09-09 |
| 1639533797 | Kelly Walsh | Behavioral Analyst | 150 Airport Rd Ste 1800, Lakewood, NJ 08701-6924 | 2016-04-05 |
| Street Address |
8479 S. MASON MONTGOMERY ROAD SUITE 4 |
| City | MASON |
| State | OH |
| Zip Code | 45040-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588140420 | Brandy Danielle Niemiller | Social Worker | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2018-07-13 |
| 1427564350 | Linda Anika Smith | Social Worker | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2017-12-14 |
| 1366957003 | Tcp of Ohio, LLC | Marriage & Family Therapist | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2017-12-04 |
| 1063964625 | Sarah R Stafford | Counselor | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2016-10-31 |
| 1851678650 | Gary R Weiler | Counselor | 8479 S. Mason Montgomery Road, Mason, OH 45040-4023 | 2011-11-08 |
| 1609003714 | Tonya Lynn Chatlos | Counselor | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2009-06-16 |
| 1689896565 | Eleanor Anne Volk | Social Worker | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2007-05-02 |
| 1356460349 | Melissa Dawn Kappes | Counselor | 8479 S. Mason Montgomery Road, Suite 4, Mason, OH 45040-4023 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| 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 |
|---|---|---|---|---|
| 1821647249 | Judith Wertheim Rapport | Social Worker | 5108 Cedar Village Dr, Mason, OH 45040-3717 | 2019-09-09 |
| 1598272239 | Life Inspired Counseling Services, LLC | Social Worker | 7577 Central Parke Blvd Ste 218, Mason, OH 45040-6817 | 2018-01-03 |
| 1568985513 | Jason M Hornsby | Social Worker | 5740 Gateway Ste 104, Mason, OH 45040-1893 | 2017-07-21 |
| 1619423456 | Nakulan Balasubramaniam | Social Worker | 6402 Sunny Dr, Mason, OH 45040-1878 | 2016-08-31 |
| 1891160511 | Carol Heckaman | Social Worker | 818 Charrington Ct., Mason, MI 48854 | 2015-12-07 |
| 1730588765 | Katherine Reeber | Social Worker | 2950 W Howell Rd, Mason, MI 48854 | 2014-08-14 |
| 1215374756 | Payal N Sawhney | Social Worker | 5856 Squires Gate Dr, Mason, OH 45040-7610 | 2013-05-23 |
| 1326215229 | Jean Marie Karslake Quenby | Social Worker | 410 E Maple St, Mason, MI 48854-1752 | 2008-05-11 |
| 1932397395 | James E Gruber | Social Worker | 5476 Cedar Village Dr, Mason, OH 45040 | 2007-10-11 |
| 1437291960 | Paula S. Bohl | Social Worker | 7577 Central Parke Blvd Ste 111, Mason, OH 45040 | 2007-02-13 |
| Find all providers in MASON | ||||
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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.