Provider Demographics
NPI:1689110801
Name:KELLEY, NANCY WOOLUMS (LCSW)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:WOOLUMS
Last Name:KELLEY
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:KELLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:37 EAST MAIN STREET
Mailing Address - Street 2:TRAININGS UNLIMITED
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361
Mailing Address - Country:US
Mailing Address - Phone:859-340-9119
Mailing Address - Fax:
Practice Address - Street 1:2195 HARRODSBURG RD STE 2
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3516
Practice Address - Country:US
Practice Address - Phone:859-562-1868
Practice Address - Fax:859-257-0421
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7147104100000X
KY2582761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker