Individual ProviderKathleen KelleySocial WorkerBehavioral Health & Social Service ProvidersPractice Address7701 13th Ave, Brooklyn, NY 11228-2413(718) 232-1351(718) 965-5189PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Kelley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:18 AM.Profile DetailsProvider ID1225066160Provider TypeIndividualFull NameKelley, KathleenCredentialLMSWGenderFemaleSole ProprietorYesEnumeration Date6/29/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(718) 232-1351Fax(718) 837-5676Mailing LocationMailing Address482 Prospect Ave, Apt 3b, Brooklyn, NY 11215-5805Phone(718) 965-5189FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense069528New York