KELLY HAGGERTY LCSW
NPI 1316536782
Social Worker in Syracuse, NY

Q: What is Kelly Haggerty's NPI number?

The NPI number for Kelly Haggerty is 1316536782. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Q: What is Kelly Haggerty's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Haggerty was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 11, 2021PECOS Enrolled

1045 JAMES ST STE 100, SYRACUSE, NY 13203(315) 425-1004 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Jan 11, 2021 (2 updates tracked since 2021).

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About Kelly Haggerty Lcsw NPPES

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

KELLY HAGGERTY LCSW (NPI 1316536782) is an individual social worker in Syracuse, New York, licensed in (110276-01) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316536782

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKELLY HAGGERTYCredential: LCSW

Location Address1045 JAMES ST STE 100Syracuse, NY 13203-2758

Mailing Address14 Gifford DrSyracuse, NY 13219-1220 · (315) 383-4143

Phone(315) 425-1004

Sole ProprietorYes

Enumeration DateJanuary 11, 2021

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1316536782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed · 110276-01

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1045 JAMES ST STE 100, Syracuse, NY 13203

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Haggerty Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MS. HEIDI M ZIERVOGEL LMSW

Social Worker