Jennifer Kelly in Cookeville - Social Worker

Jennifer Kelly - NPI 1861505620

Jennifer Kelly is a Social Worker in Cookeville, Tennessee. Jennifer Kelly practices all healthcare services and medical treatments related to Social Worker. The NPI Number for Jennifer Kelly is 1861505620. The last update date is 2007-07-08.

Jennifer Kelly's current location address is 441 E Broad St, Cookeville, Tennessee. You can contact this provider via phone number 9315200736 and fax number 9315200743. The mailing address for Jennifer Kelly is 441 E Broad St, Cookeville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Kelly
Address 441 E Broad St, Cookeville, Tennessee
Phone Number 9315200736
Fax Number 9315200743
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1861505620
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 441 E Broad St
City Cookeville
State Tennessee (TN)
Post Code 38501
Phone Number 9315200736
Fax Number 9315200743

Provider's Primary Taxonomy Detail

Speciality Social Worker
Taxonomy 104100000X
Licence No LSW 00000041
Definition:
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3926505 TN --
4069908 TN BLUE CROSS

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FAQs about Jennifer Kelly

What is the Jennifer Kelly's 1861505620?

The Jennifer Kelly's NPI (National Provider Identifier) Number is 1861505620. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jennifer Kelly is located?

The Jennifer Kelly is situated at the following address: 441 E Broad St, Cookeville, TN, 38501.

What is Jennifer Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jennifer Kelly's area of specialization is Social Worker, and the corresponding taxonomy code that categorizes this field of practice is 104100000X.

When was the Jennifer Kelly's 1861505620 issued?

The Jennifer Kelly's 1861505620 was issued on 2006-08-16.

As of what date was the information pertaining to Jennifer Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jennifer Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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