KELLI J ROSEBERRY CDCA
NPI 1104451517
Case Manager/Care Coordinator in Ironton, OH

Q: What is Kelli Roseberry's NPI number?

The NPI number for Kelli Roseberry is 1104451517. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Q: What is Kelli Roseberry'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 Kelli Roseberry was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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 March 05, 2020

700 PARK AVE, IRONTON, OH 45638(740) 532-1613(740) 532-1715 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, Mar 5, 2020 (2 updates tracked since 2020).

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About Kelli J Roseberry Cdca NPPES

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

KELLI J ROSEBERRY CDCA (NPI 1104451517) is an individual case manager/care coordinator provider in Ironton, Ohio, licensed in Ohio (CDCA.172946) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1104451517

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLI J ROSEBERRYCredential: CDCA

Location Address700 PARK AVEIronton, OH 45638-1502

Mailing AddressPo Box 108Ironton, OH 45638-0108 · (740) 532-1613 · Fax (740) 532-1715

Phone(740) 532-1613

Fax(740) 532-1715

Sole ProprietorNo

Enumeration DateMarch 5, 2020

Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration

NPPES CertifiedMarch 9, 2020

✔ NPI 1104451517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OH · CDCA.172946

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.

700 PARK AVE, Ironton, OH 45638

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Other Identifiers 1

Medicaid0393692OH

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.

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