Deidra Kelly, CAC
NPI 1770151136 · Addiction (Substance Use Disorder) Counselor · Brooklyn, MD
Deidra Kelly, CAC is a Addiction (Substance Use Disorder) Counselor provider in Brooklyn, MD (NPI 1770151136).
Provider details
- NPI number
- 1770151136
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AC2833 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4268 Sands RdHarwood, MD 20776-9419Phone: (410) 967-9131
Registry dates
- Enumerated
- 2021-06-14
- Last updated
- 2021-06-14
- Certified
- 2021-06-14
Frequently asked questions
- What is Deidra Kelly's NPI number?
- Deidra Kelly's National Provider Identifier (NPI) is 1770151136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deidra Kelly's specialty?
- Deidra Kelly is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Deidra Kelly located?
- Deidra Kelly's practice location on file with NPPES is 112 E Patapsco Ave, Brooklyn, MD 21225-1745.
- What is Deidra Kelly's phone number?
- The practice phone number listed in the NPPES registry for Deidra Kelly is (667) 260-2595.
- Is Deidra Kelly's NPI active?
- Yes — Deidra Kelly's NPI (1770151136) is active in the NPPES registry as of the last update on 2021-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.