Provider Demographics
NPI:1295629350
Name:SIVEWRIGHT, KELLIE (MSW, BSOCSCI)
Entity type:Individual
Prefix:
First Name:KELLIE
Middle Name:
Last Name:SIVEWRIGHT
Suffix:
Gender:F
Credentials:MSW, BSOCSCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 NORTHPOINT PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-1954
Mailing Address - Country:US
Mailing Address - Phone:561-933-7531
Mailing Address - Fax:
Practice Address - Street 1:5029 VINE CLIFF WAY W
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-5101
Practice Address - Country:US
Practice Address - Phone:561-971-4469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)