MS. MINDY ELIZABETH BLACK-KELLY (NPI# 1962779496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962779496 |
| Entity Type | Individual |
| Full Name | MS. MINDY ELIZABETH BLACK-KELLY |
| Credential | LCSW-C |
| Practice Address |
3 Cedar St Cambridge MD 21613-2362 |
| Practice Telephone | 4102284368 |
| Mailing Telephone | 4102284368 |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10739 | MD | Behavioral Health & Social Service Providers |
| Street Address |
3 CEDAR ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-2362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144298290 | State of Maryland - Dhmh | Public Health or Welfare | 3 Cedar St, Cambridge, MD 21613-2362 | 2006-03-14 |
| 1487135927 | Dorchester County Health Department - Communicable Disease | Public Health or Welfare | 3 Cedar St, Cambridge, MD 21613-2362 | 2018-08-23 |
| 1134618721 | Dorchester County Health Department | Public Health or Welfare | 3 Cedar St, Cambridge, MD 21613-2362 | 2018-05-09 |
| 1528437779 | Dorchester County Health Department | Counselor | 3 Cedar St, Cambridge, MD 21613-2362 | 2015-09-17 |
| 1003253998 | Dorchester County Health Department | Case Management | 3 Cedar St, Cambridge, MD 21613-2362 | 2013-05-31 |
| 1952675746 | Dorchester County Health Department | Social Worker | 3 Cedar St, Cambridge, MD 21613-2362 | 2012-02-27 |
| 1750650537 | Dorchester Co Health Dept Family Planning | Public Health or Welfare | 3 Cedar St, Cambridge, MD 21613-2362 | 2011-12-22 |
| 1124395645 | Susan Camille Radcliffe | Social Worker | 3 Cedar St, Dorchester County Health Department, Cambridge, MD 21613-2362 | 2011-11-29 |
| 1669749495 | Christa Chesley | Social Worker | 3 Cedar St, Cambridge, MD 21613-2362 | 2011-11-22 |
| 1780951467 | Jessica L Ives | Counselor | 3 Cedar St, Cambridge, MD 21613-2362 | 2011-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| 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 |
|---|---|---|---|---|
| 1871109421 | Julia Mabel Digenan | Social Worker | 22 Water St Apt 1109, Cambridge, MA 02141-1388 | 2020-09-18 |
| 1790331593 | Chloe Lewis Walker | Social Worker | 47 Thorndike St # Sb-ll1, Cambridge, MA 02141-1799 | 2019-08-16 |
| 1235798158 | Janelle Parker | Social Worker | 204 Cedar St Ste 102, Cambridge, MD 21613-2395 | 2019-06-13 |
| 1720546161 | Beverly Cynthia Sealey | Social Worker | 249 Garden St Apt 16, Cambridge, MA 02138-1253 | 2019-03-05 |
| 1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1023593506 | Paula J Maute | Social Worker | 68 Bolton St # 1, Cambridge, MA 02140-3311 | 2018-10-01 |
| 1225513120 | Elizabeth Olson | Social Worker | 116 Norfolk St, Cambridge, MA 02139-2643 | 2018-09-27 |
| 1659855757 | Paul Gerard Creelan | Social Worker | 98 Reed St, Cambridge, MA 02140-1740 | 2018-09-24 |
| 1891279998 | Susan Mapel | Social Worker | 10 Sargent St, Cambridge, MA 02140-2514 | 2018-09-24 |
| Find all providers in CAMBRIDGE | ||||
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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.