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Deactivated NPI 1487905162 Deactivated / Inactive NPI Female Practitioner

Katherine F Kelley , LMSW

Social Worker • Waco, TX

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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, Katherine Kelley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2012
NPI Deactivation Date January 21, 2021
Total Practice Duration ~9 Years of Practice (2012 – 2021)

Professional Overview & Biography Verified Profile Summary

Katherine Kelley, LMSW was a registered Social Worker practicing in Waco, TX. Throughout an active medical career spanning 9 years, Katherine Kelley provided care at the practice location at 4800 MEMORIAL DR until profile deactivation on 2021-01-21.

Practice Location & Contact Primary Location

Practice Address

4800 Memorial Dr

Waco, TX 767111329

Telephone 2547526581
Associated Practice Facility / Clinic
🏢 Temple Vamc Facility NPI 1013965235

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Waco, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 13.4 Yrs
Regional Practice Density
54 Specialists

Practicing in Waco, TX (3758 Statewide)

Telehealth Adoption Rate
0.0% 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 TX 56498

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

22 Associated Practitioners
Paul Cook , PT

Physical Therapist

NPI 1003463191

Physical Therapist

Dr. Anugu Reddy , MD

Internal Medicine - Geriatric Medicine

NPI 1013020403

Doctor of Medicine (M.D.)

Ann Kurpess , CTRS

Recreation Therapist

NPI 1043908296
Natalie Qualls

Social Worker - Clinical

NPI 1063738383
David Dunkle

Pharmacist

NPI 1093110272
NPI 1093387128

Doctor of Optometry

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 January 21, 2021

Record deactivated on January 21, 2021

NPI Profile Active September 21, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 21, 2012

Registered at 4800 MEMORIAL DR, WACO, TX 767111329 (Tel: 2547526581)

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Updated Business Mailing Address September 21, 2012

Registered at 4800 MEMORIAL DR, WACO, TX 767111329 (Tel: 2547526581)

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Provider Name / Credentials Updated September 21, 2012

Recorded as KATHERINE KELLEY, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2012

Social Worker (License #56498 in TX)

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Initial NPI Registration & Enumeration September 21, 2012

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: 1487905162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2012
Last Update: September 21, 2012
Deactivation Date: January 21, 2021

Mailing Address

4800 Memorial Dr

Waco, TX 767111329

Phone: 2547526581

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.