KELLY A DEARDOFF - NPI 1780547224 - Case Manager/Care Coordinator in Mount Orab, OH

Q: What is Kelly Deardoff's NPI number?

The NPI number for Kelly Deardoff is 1780547224. It was assigned to this individual provider in the NPPES registry on December 3, 2025.

Q: What is Kelly Deardoff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Deardoff was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kelly A Deardoff NPPES

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

KELLY A DEARDOFF (NPI 1780547224) is an individual case manager/care coordinator provider in Mount Orab, Ohio and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1780547224

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameKELLY A DEARDOFF

Location Address149 MERCY BLVDMount Orab, OH 45154-0296

Mailing Address149 Mercy BlvdMount Orab, OH 45154-0296 · (937) 712-3121 · Fax (937) 712-3122

Phone(937) 712-3121

Fax(937) 712-3122

Sole ProprietorYes

Enumeration DateDecember 3, 2025

NPPES CertifiedDecember 3, 2025

✔ NPI 1780547224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

149 MERCY BLVD, Mount Orab, OH 45154

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP