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Deactivated NPI 1104936160 Deactivated / Inactive NPI Male Practitioner

John A Kelly , LISW

Social Worker • Cincinnati, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Kelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date November 04, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

John Kelly, LISW was a registered Social Worker practicing in Cincinnati, OH. Throughout an active medical career spanning 13 years, John Kelly provided care at the practice location at 3120 BURNET AVE until profile deactivation on 2019-11-04.

Practice Location & Contact Primary Location

Practice Address

3120 Burnet Ave
Ste. 403

Cincinnati, OH 452293091

Telephone 5134750700
Fax 5134759555
Associated Practice Facility / Clinic
🏢 Dahar & Associates, Inc. Facility NPI 1982659280

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
1215 Specialists

Practicing in Cincinnati, OH (11526 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License OH I-0003686

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1003855230

Licensed Independent Social Worker

NPI 1285673384

Licensed Independent Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 04, 2019

Record deactivated on November 04, 2019

NPI Profile Active September 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2007

Registered at 3120 BURNET AVE, STE. 403, CINCINNATI, OH 452293091 (Tel: 5134750700)

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Updated Business Mailing Address September 11, 2007

Registered at PO BOX 634167, CINCINNATI, OH 452630041 (Tel: 5138912813)

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Provider Name / Credentials Updated September 11, 2007

Recorded as JOHN KELLY, LISW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2007

Social Worker (License #I-0003686 in OH)

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Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104936160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: September 11, 2007
Deactivation Date: November 04, 2019

Mailing Address

Po Box 634167

Cincinnati, OH 452630041

Phone: 5138912813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.