Mrs Brandi Lynn Kelly, LCSW is a
Social Worker - Clinical based in Mount Olive, Illinois. Mrs Brandi Lynn Kelly is licensed to practice in Illinois (license number 149.012555) and her current practice location is
312 W Main St, Mount Olive, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 433-0688.
NPI number for Mrs Brandi Lynn Kelly is 1518159821 and her current mailing address is 2014 Vandalia St, Collinsville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518159821.
Healthcare Provider's Profile
Full Name | Mrs Brandi Lynn Kelly |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 312 W Main St, Mount Olive, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518159821
- Provider Enumeration Date: 08/10/2007
- Last Update Date: 05/16/2025
Medical Identifiers
Medical identifiers for Mrs Brandi Lynn Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518159821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149.012555 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Brandi Lynn Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Brandi Lynn Kelly, LCSW 2014 Vandalia St, Collinsville, IL 62234-4848 Ph: (618) 345-9536 | Mrs Brandi Lynn Kelly, LCSW 312 W Main St, Mount Olive, IL 62069-1640 Ph: (217) 433-0688 |
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