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SHARON L KELLEY LCSW NPI 1720053689


NPI Information

NPI: 1720053689
Provider Name: SHARON L KELLEY, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
504 NW 10TH
AVA, MO
ZIP 65608
Phone: (417) 683-5739
Get Directions

Sharon L Kelley, LCSW is a clinical social worker in Ava, MO. The provider is 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. Sharon L Kelley, LCSW NPI is 1720053689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

504 NW 10TH
AVA, MO
ZIP 65608-359
Phone: (417) 683-5739
Fax: (417) 683-1602

The enumeration date for this NPI number is 2/22/2006 and was last updated on 2/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical10398FLORIDANo
21041C0700XSocial WorkerClinical1999135384MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00122802OTHERRAILROAD MEDICARE
2499145506MEDICAIDMISSOURI
3499145514MEDICAIDMISSOURI
4189212OTHERBLUE CROSS BLUE SHIELD
5GC705ZMEDICARE UPINFLORIDA
6990101318MEDICARE ID-TYPE UNSPECIFIED
7499145522MEDICAIDMISSOURI
8004856200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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