CONNIE C KELLUM LCSW - NPI 1114945755 - Social Worker in Anderson, IN

Q: What is Connie Kellum's NPI number?

The NPI number for Connie Kellum is 1114945755. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Connie Kellum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Connie Kellum was last updated on March 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

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About Connie C Kellum Lcsw NPPES

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

CONNIE C KELLUM LCSW (NPI 1114945755) is an individual clinical provider in Anderson, Indiana, licensed in Indiana (34002455) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1114945755

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCONNIE C KELLUMCredential: LCSW

Location Address2210 JACKSON STAnderson, IN 46016-4363

Mailing Address10330 N Meridian St # 300Indianapolis, IN 46290-1024

Phone(765) 683-3118

Sole ProprietorNo

Enumeration DateJuly 18, 2006

Last NPPES UpdateMarch 16, 2018

✔ NPI 1114945755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IN · 34002455

Definition

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.

2210 JACKSON ST, Anderson, IN 46016

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Other Identifiers 2

Other000000245988Anthem Pin Number

Medicaid100080200IN

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.

KEVIN R ANDERSON LCSW

Social Worker (Clinical)