MEDICARE: ALEXIS CATHERINE KELLY MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW018969	PA
2	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306129960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS CATHERINE KELLY MSW, LCSW

Provider Business Mailing Address
First Line	:	171 KRAKY RD
Second Line	:
City	:	SCOTT TOWNSHIP
State	:	PA
Zip	:	18447-7657
Country	:	US
Telephone Number	:	570-407-3869
Fax Number	:

Provider Business Practice Location Address
First Line	:	1509 N MAIN AVE
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18508-1866
Country	:	US
Telephone Number	:	570-407-3869
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2011
Last Update Date	:	01/04/2017

Similar Medicare Providers

1982914180 — MRS. MARCY LYNN DUFFY LPC, CACD, CCDPD
Practice Location Address:

1509 N MAIN AVE
SCRANTON, PA
18508-1866

Practice Phone: 570-335-8710
Practice Fax:

1962888701 — MARCY LYNN DUFFY PROFESSIONAL COUNSELING SERVICE
Practice Location Address:

1509 N MAIN AVE
SCRANTON, PA
18508-1866

Practice Phone: 570-880-7545
Practice Fax: 570-880-7602

1710352380 — MR. DAVID FALBO JR. M.S., NCC, LPC
Practice Location Address:

1509 N MAIN AVE
SCRANTON, PA
18508-1866

Practice Phone: 570-961-3361
Practice Fax: 570-961-3364

1598854259 — RITE AID OF PENNSYLVANIA LLC
Practice Location Address:

500 NORTH MAIN AVENUE
SCRANTON, PA
18504-1866

Practice Phone: 570-342-6411
Practice Fax:

1639468333 — MR. KEITH M CARSON PHARMD
Practice Location Address:

500 N MAIN AVE
SCRANTON, PA
18504-1866

Practice Phone: 570-342-6411
Practice Fax:

1093007940 — SEAN DILLON RPH
Practice Location Address:

500 N MAIN AVE
SCRANTON, PA
18504-1866

Practice Phone: 570-342-6411
Practice Fax:

Directions to “ ALEXIS CATHERINE KELLY MSW, LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.