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MS. DEIDRA KELLY CAC
NPI 1770151136
Counselor - Addiction (Substance Use Disorder) in Brooklyn, MD

Active since June 14, 2021
112 E PATAPSCO AVE, BROOKLYN, MD 21225(667) 260-2595 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Deidra Kelly Cac NPPES

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

MS. DEIDRA KELLY CAC (NPI 1770151136) is an individual addiction (substance use disorder) provider in Brooklyn, Maryland, licensed in Maryland (AC2833) and active in the NPI registry since June 2021. She maintains a secondary practice location in Harwood.

NPPES Registry Identity

NPI1770151136
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. DEIDRA KELLYCredential: CAC
Location Address112 E PATAPSCO AVEBrooklyn, MD 21225-1745
Mailing Address723 Stafford Hill DrGlen Burnie, MD 21061-4879 · (410) 967-9131
Phone(667) 260-2595
Sole ProprietorYes
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1770151136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · AC2833
112 E PATAPSCO AVE, Brooklyn, MD 21225
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Secondary Practice Location 1

Location 14268 Sands RdHarwood, MD 20776-9419 · Phone (410) 967-9131

Other Providers at the Same Location NPPES 8

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

HARWOOD BEHAVIORAL HEALTH PARTNERS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (410) 617-0142
THOMAS J CONWAY ADT
Counselor (Addiction (Substance Use Disorder))
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (667) 260-2640
HARWOOD BEHAVIORAL HEALTH II LLC
Community/Behavioral Health
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (240) 813-9867
YI QIAN CHEN BS
Counselor (Mental Health)
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (667) 260-2600
CONCERTED CARE GROUP BROOKLYN
Clinic/Center
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (240) 813-9867
CONCERTED CARE GROUP BROOKLYN LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (833) 224-5423
HARWOOD BEHAVIORAL HEALTH II LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (833) 224-5483
CONCERTED CARE GROUP BROOKLYN LLC
Clinic/Center (Methadone)
112 E PATAPSCO AVE
BALTIMORE, MD 21225
Baltimore City (240) 813-9867

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 Deidra Kelly's NPI number?

The NPI number for Deidra Kelly is 1770151136. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Deidra Kelly located?

Deidra Kelly practices at 112 E Patapsco Ave, Brooklyn, MD 21225. The listed phone number is (667) 260-2595.

What is Deidra Kelly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Deidra Kelly was last updated on June 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.