MRS. KELLY MARIE MCCORMICK (NPI# 1912211749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912211749 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MARIE MCCORMICK |
| Credential | L.C.S.W. |
| Practice Address |
1450 Chapel St 2nd Floor- Haelen Center New Haven CT 06511-4405 |
| Mailing Address |
1450 Chapel St New Haven CT 06511-4405 |
| Practice Telephone | 2037895108 |
| Practice Fax Number | 2038675241 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
006647 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477905966 | Kelly J Mccormick | Speech-Language Pathologist | 1359 Plum Creek Dr, Bourbonnais, IL 60914-1533 | 2016-07-07 |
| 1801264528 | Kelly J Mccormick | Counselor | 8810 Torchwood Dr, Trinity, FL 34655-5333 | 2015-09-11 |
| 1851490650 | Kelly A Mccormick | Chiropractor | 5101 Old Highway 5 Ste 1, Woodstock, GA 30188 | 2006-09-21 |
| 1801431259 | Kelly Ann Mccormick | Dietitian, Registered | 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 | 2019-11-08 |
| 1790347961 | Kelly Mccormick | Counselor | 55 Dodge Rd, Getzville, NY 14068-1205 | 2019-07-08 |
| 1447815857 | Kelly Nicole Mccormick | Nurse Practitioner | 1401 Nicholasville Rd, Lexington, KY 40503-1140 | 2019-05-01 |
| 1497102784 | Kelly Alexander Mccormick | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw, Pob II; Suite 106, Birmingham, AL 35211-1333 | 2016-05-17 |
| 1922455328 | Kelly Mccormick | Physical Therapist | 3201 Farnam St Ste 6110, Omaha, NE 68131-3405 | 2016-05-16 |
| 1932534039 | Kelly Mccormick | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-09-08 |
| 1770867335 | Kelly Mccormick | Rehabilitation Practitioner | 2017 E 4th St, Long Beach, CA 90814-1001 | 2011-09-30 |
| Street Address |
1450 CHAPEL ST 2ND FLOOR- HAELEN CENTER |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272949 | Bhupesh Mangla | Internal Medicine | 1450 Chapel St, Department of Medicine, Hospital of Saint Raphael, New Haven, CT 06511-4405 | 2005-06-01 |
| 1326652108 | Christiana Moustakas O'hara | Speech-Language Pathologist | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-08-31 |
| 1699388728 | Travis Pyka | Registered Nurse | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-08-28 |
| 1013527423 | Julie Lynn West | Psychiatry & Neurology | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-08-01 |
| 1801405840 | Melina Catherine Proto | Registered Nurse | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-07-27 |
| 1053935163 | Hilary Bartholomay | Nurse Practitioner | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-06-04 |
| 1932728151 | Stephanie Mock | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-04-09 |
| 1407415169 | Lisa Hanna | Pharmacist | 1450 Chapel St, New Haven, CT 06511-4405 | 2019-06-06 |
| 1841859667 | Russell Clifford Sage | Pharmacist | 1450 Chapel St, New Haven, CT 06511-4405 | 2019-06-06 |
| 1194384933 | Emily Tiglio | Pharmacist | 1450 Chapel St, New Haven, CT 06511-4405 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| 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 |
|---|---|---|---|---|
| 1487252995 | Peter James Butler | Social Worker | 580 Dixwell Ave, New Haven, CT 06511-1744 | 2020-10-16 |
| 1639785363 | Rita J Wagner | Social Worker | 81 Lenox St, New Haven, CT 06513-4420 | 2020-09-18 |
| 1659983740 | Neta Korem | Social Worker | 135 Canner St, New Haven, CT 06511-2201 | 2020-08-19 |
| 1568074136 | Jalena Louise Robertson Adams | Social Worker | 2218 Lyons Station Rd, New Haven, KY 40051-8723 | 2020-08-17 |
| 1588272744 | Angela Monique Avery | Social Worker | 1423 Chapel St Ste 2r, New Haven, CT 06511-4411 | 2020-07-14 |
| 1427675255 | Tatiana Martinez | Social Worker | 350 George St Fl 2, New Haven, CT 06511-6617 | 2020-06-27 |
| 1275167959 | Cheyenne Taylor | Social Worker | 911-913 State St, Sscs, New Haven, CT 06511-3926 | 2020-03-03 |
| 1093349862 | Becoming You Therapy | Social Worker | 14 Trumbull St Ste 103, New Haven, CT 06511-6312 | 2020-03-02 |
| 1245880418 | Estela Lopez-de Lara | Social Worker | 455 Orange St Ofc 1, New Haven, CT 06511-6202 | 2019-09-18 |
| 1710549753 | Adna Linden | Social Worker | 35 Elm St Ste 1c, New Haven, CT 06510-2023 | 2019-06-30 |
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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.