LISA B KELLY LCSW
NPI 1508185141
Social Worker - Clinical in South Bend, IN
NPI Status: Active since May 21, 2010
- Individual
- Female
- Social Worker
- Clinical
About LISA KELLY
This page provides the complete NPI Profile along with additional information for Lisa Kelly, a provider established in South Bend, Indiana with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1508185141 assigned on May 2010. The practitioner's primary taxonomy code is 1041C0700X with license number 34006209A (IN). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1508185141
- Provider Name
- LISA B KELLY LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 107 N EDDY ST SOUTH BEND, IN 46617
- Location Phone
- (574) 246-1036
- Mailing Address
- 132 MARQUETTE AVE SOUTH BEND, IN 46617
- Mailing Phone
- (410) 262-7468
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-21-2010
- Last Update Date
- 04-30-2013
- Code Navigator
A clinical social worker like Lisa Kelly is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 34006209A
- License State
- IN
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 10805 (MD) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 1 | 8 | 5 | 1 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 2 | 8 | 10 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 2 + 8 + 1 + 0 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1508185141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700196698 | MITCHELL R GOLDSTEIN, MD Organization | Counselor (Professional) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 532-0153 |
| 1023197092 | MRS. DEBORAH W KOVAS STRETCH MSW LCSW ACSW Individual | Social Worker | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1457793572 | MRS. MARI CHAMBERLIN MS ED Individual | Counselor (Mental Health) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1992116107 | ASHLEY S KOLBE MSW Individual | Social Worker | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1871723338 | KATHY J CANADY-NAGY LCSW Individual | Social Worker (Clinical) | 107 N EDDY ST SOUTH BEND, IN 46617 (575) 742-4610 |
| 1326567496 | RACHEL MIALKOWSKI Individual | Counselor (Mental Health) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1952864126 | CARRIE CONDER LCSW Individual | Social Worker (Clinical) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
| 1659335636 | DR. MITCHELL ROBERT GOLDSTEIN M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 107 N EDDY ST SOUTH BEND, IN 46617 (574) 246-1036 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508185141, enumerated in the NPI registry as an "individual" on May 21, 2010
The provider is located at 107 N Eddy St South Bend, In 46617 and the phone number is (574) 246-1036
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on May 21, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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