Kelly D Prothero is a Clinical in San Rafael, California. Kelly D Prothero practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly D Prothero is 1225112055. The last update date is 2011-05-31.
Kelly D Prothero's current location address is 321 Laurel Pl, San Rafael, California. You can contact this provider via phone number 4157478903. The mailing address for Kelly D Prothero is 321 Laurel Pl, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly D Prothero |
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Address | 321 Laurel Pl, San Rafael, California |
Phone Number | 4157478903 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1225112055 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2011-05-31 |
Provider Mailing Address Detail
Address | 321 Laurel Pl |
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City | San Rafael |
State | California (CA) |
Post Code | 949012012 |
Phone Number | 4157478903 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCS 26369 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique 10-digit identifier code assigned to Kelly D Prothero by the Centers for Medicare & Medicaid Services?
The Kelly D Prothero has been issued the NPI (National Provider Identifier) 1225112055 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kelly D Prothero is located?
The Kelly D Prothero is situated at the following address: 321 Laurel Pl, San Rafael, CA, 949012012.
What is the area of specialization for Kelly D Prothero, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly D Prothero is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Kelly D Prothero receive its 1225112055 assignment?
The Kelly D Prothero was assigned its 1225112055 on 2006-10-25, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kelly D Prothero most recently updated or revised?
The details related to Kelly D Prothero, including its address, specialty, and other relevant information, were last updated or revised on 2011-05-31.