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KELLY DETHERAGE
NPI 1497167845
Case Manager/Care Coordinator in Orlando, FL

Active since May 20, 2014
601 W MICHIGAN ST, ORLANDO, FL 32805(407) 317-7430(407) 648-4150 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Detherage NPPES

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

KELLY DETHERAGE (NPI 1497167845) is an individual case manager/care coordinator provider in Orlando, Florida and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1497167845
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKELLY DETHERAGE
Location Address601 W MICHIGAN STOrlando, FL 32805-6203
Mailing Address601 W Michigan StOrlando, FL 32805-6203 · (407) 317-7430 · Fax (407) 648-4150
Phone(407) 317-7430
Fax(407) 648-4150
Sole ProprietorNo
Enumeration DateMay 20, 2014
Last NPPES UpdateOctober 16, 2014
✔ NPI 1497167845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
601 W MICHIGAN ST, Orlando, FL 32805
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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.

GRACE VALENCIA
Case Manager/Care Coordinator
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 317-7430
SUSAN GARDNER JOSEPHSON LMHC
Counselor (Mental Health)
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 518-6936
ELIZABETH ARAGON-DUQUE
Case Manager/Care Coordinator
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 317-7430
MRS. MARY B GRIMMER LCSW
Social Worker
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 317-7430
DEBBIE GIL
Social Worker
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 317-7430
MARJORIE GUERRIER-TINGLE BA
Case Manager/Care Coordinator
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 317-7430
GLORIA J BELE
Social Worker
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 317-7430
TORI BLACKSHEAR BA
Social Worker
601 W MICHIGAN ST
ORLANDO, FL 32805
Orange County (407) 317-7430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Detherage's NPI number?

The NPI number for Kelly Detherage is 1497167845. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Kelly Detherage located?

Kelly Detherage practices at 601 W Michigan St, Orlando, FL 32805. The listed phone number is (407) 317-7430.

What is Kelly Detherage's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Detherage was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.