ABIGAIL KELLEY (NPI# 1992041222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992041222 |
| Entity Type | Individual |
| Full Name | ABIGAIL KELLEY |
| Other Name | ABIGAIL SIMON |
| Credential | MSW, LICSW |
| Practice Address |
8500 Edinbrook Pkwy Brooklyn Park MN 55443 |
| Mailing Address |
1930 Coon Rapids Blvd Nw Coon Rapids MN 55433-4708 |
| Practice Telephone | 7634884084 |
| Mailing Telephone | 7634277964 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
19973 | MN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 554334708 | 7634277964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472996 | Abigail Kelley | Counselor | 3156 Ne Yellow Ribbon Dr, Bend, OR 97701-7522 | 2020-06-19 |
| 1114580800 | Abigail Karon Kelley | Behavioral Analyst | 3804 Shinglewood Ct, Union City, CA 94587 | 2019-04-17 |
| 1730547191 | Abigail Kelley | Social Worker | 51 Union St Ste 222, Worcester, MA 01608-1134 | 2016-02-01 |
| 1417562034 | Abigail E Kelley | Student in an Organized Health Care Education/Training Program | 2450 S Vine St, Denver, CO 80210-5264 | 2020-09-10 |
| Street Address |
8500 EDINBROOK PKWY |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126158 | Lyn P. Chapman | Pediatrics | 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443-3720 | 2006-03-01 |
| 1598191389 | Holly Ann Meier | Nurse Practitioner | 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443 | 2013-09-24 |
| 1043573744 | Ashley Elizabeth Reynolds | Pediatrics | 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443-3720 | 2012-06-19 |
| 1912147281 | Tozer Chiropractic, P.a. | Chiropractor | 8500 Edinbrook Pkwy, Suite F, Brooklyn Park, MN 55443-3720 | 2009-02-26 |
| 1184871907 | Keri B. Conway | Nurse Practitioner | 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443-3720 | 2008-08-22 |
| 1891838678 | Melanie Giel | Registered Nurse | 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443-3720 | 2007-02-14 |
| 1649348681 | Eyeklinic Inc | Eyewear Supplier (Equipment, not the service) | 8500 Edinbrook Pkwy, Suite G, Brooklyn Park, MN 55443-3720 | 2006-11-30 |
| 1326116344 | Josan Wai-tak Ko | Optometrist | 8500 Edinbrook Pkwy, Suite G, Brooklyn Park, MN 55443-3720 | 2006-11-30 |
| 1285734798 | Christopher William Tozer | Chiropractor | 8500 Edinbrook Pkwy, Suite F, Brooklyn Park, MN 55443-3720 | 2006-09-24 |
| 1255309373 | Suzanne E. Strauss | Nurse Practitioner | 8500 Edinbrook Pkwy, Brooklyn Park, MN 55443-3720 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| 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 |
|---|---|---|---|---|
| 1003415969 | Kaitlin Burke | Social Worker | 4016 Willow Rd N, Brooklyn Park, MN 55443-1240 | 2020-10-21 |
| 1174096069 | Megan Lewis Townsend | Social Worker | 200 Hammonds Ln, Brooklyn Park, MD 21225-3634 | 2019-01-03 |
| 1083198741 | Kintsugi Therapy Services | Social Worker | 3425 75th Ave N, Brooklyn Park, MN 55443-3525 | 2018-09-19 |
| 1003262817 | Phillip Ernest Larkins | Social Worker | 10066 Toledo Dr N, Brooklyn Park, MN 55443-2378 | 2016-05-11 |
| 1225490808 | Project Chesapeake LLC | Social Worker | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2016-03-23 |
| 1679942130 | Lindsay Rahkola | Social Worker | 9400 Zane Avenue, Brooklyn Park, MN 55443 | 2015-09-15 |
| 1801948161 | Jocelyne Vincent | Social Worker | Family Networks, 7600 Boone Ave., N., Suite 2, Brooklyn Park, MN 55428 | 2007-01-17 |
| 1548330897 | Josephine Amaka Nwoke | Social Worker | 3621 85th Ave N Ste 106, Brooklyn Park, MN 55443 | 2006-11-08 |
| 1497315188 | Samantha Dannley Hirschey | Social Worker | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2019-06-16 |
| 1578129326 | Jessica Brisbois | Social Worker | 5500 94th Ave N, Brooklyn Park, MN 55443-1992 | 2019-05-17 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
Please comment or provide details below to improve the information on ABIGAIL KELLEY.
| 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.