Lisa Danielle Kelley in Suwanee - Clinical
Lisa Danielle Kelley - NPI 1750454328
Lisa Danielle Kelley is a Clinical in Suwanee, Georgia. Lisa Danielle Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Danielle Kelley is 1750454328. The last update date is 2008-04-29.
Lisa Danielle Kelley's current location address is 5400 Laurel Springs Pkwy, Suwanee, Georgia. You can contact this provider via phone number 6789085543. The mailing address for Lisa Danielle Kelley is 5400 Laurel Springs Pkwy, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Danielle Kelley |
|---|---|
| Address | 5400 Laurel Springs Pkwy, Suwanee, Georgia |
| Phone Number | 6789085543 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1750454328 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 5400 Laurel Springs Pkwy |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300246056 |
| Phone Number | 6789085543 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3314 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 220143218A | GA | -- |
Post Comment/ Review Below
What is the Lisa Danielle Kelley's 1750454328?
The Lisa Danielle Kelley's NPI (National Provider Identifier) Number is 1750454328. 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 address where Lisa Danielle Kelley is physically located?
The Lisa Danielle Kelley is situated at the following address: 5400 Laurel Springs Pkwy, Suwanee, GA 300246056.
What is Lisa Danielle Kelley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Danielle Kelley is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1750454328 assigned to Lisa Danielle Kelley?
The Lisa Danielle Kelley was issued its 1750454328 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lisa Danielle Kelley's details last updated?
The information pertaining to the Lisa Danielle Kelley, including its address, specialty, and other details, was most recently updated on 2008-04-29.
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