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DEIDRA KELLY
NPI 1770157158
Counselor in Brooklyn, NY

Active since May 19, 2021
1623 FLATBUSH AVE, BROOKLYN, NY 11210(718) 530-4228 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deidra Kelly NPPES

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

DEIDRA KELLY (NPI 1770157158) is an individual counselor in Brooklyn, New York and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1770157158
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDEIDRA KELLY
Location Address1623 FLATBUSH AVEBrooklyn, NY 11210-3262
Mailing Address1623 Flatbush AveBrooklyn, NY 11210-3262 · (917) 671-6315
Phone(718) 530-4228
Sole ProprietorNo
Enumeration DateMay 19, 2021
NPPES CertifiedMay 19, 2021
✔ NPI 1770157158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1623 FLATBUSH AVE, Brooklyn, NY 11210
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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.

TINEKA JOHNSON NYCPS-P
Peer Specialist
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 377-7757
MRS. CHARLENE MORIAH GARRAWAY LMSW
Social Worker
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 951-9009
MS. KEROSHA A FINDLAY
Case Manager/Care Coordinator
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 398-0153
MS. MALIKA FOREMAN LMSW
Social Worker
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 377-5755
MS. PAIGE BANKS
Social Worker
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 398-0153
CRYSTAL CHARLES
Social Worker
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 377-5755
JERRY JASON GOMEZ CHSD
Day Training/Habilitation Specialist
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 377-5755
ALMA RENAE BOALDS
Peer Specialist
1623 FLATBUSH AVE
BROOKLYN, NY 11210
Kings County (718) 722-6124

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 1770157158. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Deidra Kelly located?

Deidra Kelly practices at 1623 Flatbush Ave, Brooklyn, NY 11210. The listed phone number is (718) 530-4228.

What is Deidra Kelly's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Deidra Kelly was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.