MR. TIMOTHY KELLY SR.
NPI 1083188643
Case Manager/Care Coordinator in Independence, OH

Q: What is Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1083188643. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Q: What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 17, 2019

6200 ROCKSIDE WOODS BLVD N STE 305, INDEPENDENCE, OH 44131(234) 410-5775 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Apr 19, 2024, Feb 22, 2023 and 3 more (6 updates tracked since 2019).

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About Mr. Timothy Kelly Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY KELLY SR. (NPI 1083188643) is an individual case manager/care coordinator provider in Independence, Ohio and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1083188643

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. TIMOTHY KELLY SR.

Location Address6200 ROCKSIDE WOODS BLVD N STE 305Independence, OH 44131-2343

Mailing Address21231 Wilmore AveEuclid, OH 44123-2823 · (234) 410-5775

Phone(234) 410-5775

Sole ProprietorYes

Enumeration DateJanuary 17, 2019

Last NPPES UpdateAugust 8, 20246 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1083188643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.183151 (OH)

Also ListedSocial WorkerTaxonomy 104100000X · License S.2202740-TRNE (OH)

Also ListedPeer SpecialistTaxonomy 175T00000X

6200 ROCKSIDE WOODS BLVD N STE 305, Independence, OH 44131

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA RYAN HOLSOPPLE

Social Worker