Deborah Lynn Kelly | Memphis, TN • PECOS Search

Deborah Lynn Kelly

Social Worker

Behavioral Health & Social Service Providers

1173 Union Ave Apt 409, Memphis, TN 38104-6673

PECOS Enrollment

Based on the most recent information from CMS, provider Deborah Lynn Kelly does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1578245122
Provider Type
Individual
Full Name
Kelly, Deborah Lynn
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
8/3/2023
Last Updated
8/3/2023

Contact Information

Practice Location

1173 Union Ave Apt 409, Memphis, TN 38104-6673

Unlisted Fax

Mailing Location

1173 Union Ave Apt 409, Memphis, TN 38104-6673

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6929 Tennessee