Kelly E Wedeven is a Clinical in Boise, Idaho. Kelly E Wedeven practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly E Wedeven is 1912923871. The last update date is 2023-06-15.
Kelly E Wedeven's current location address is 131 N Allumbaugh St, Boise, Idaho. You can contact this provider via phone number 2083672175 and fax number 2083760285. The mailing address for Kelly E Wedeven is 131 N Allumbaugh St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly E Wedeven |
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Address | 131 N Allumbaugh St, Boise, Idaho |
Phone Number | 2083672175 |
Fax Number | 2083760285 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1912923871 |
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Provider Enumeration Date | 2006-07-14 |
Last Updated Date | 2023-06-15 |
Provider Mailing Address Detail
Address | 131 N Allumbaugh St |
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City | Boise |
State | Idaho (ID) |
Post Code | 837049204 |
Phone Number | 2083672175 |
Fax Number | 2083760285 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW24754 |
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 Kelly E Wedeven's unique identification number?
The Kelly E Wedeven has been assigned the NPI (National Provider Identifier) Number 1912923871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kelly E Wedeven is physically located?
The Kelly E Wedeven is physically situated at the following address: 131 N Allumbaugh St, Boise, ID, 837049204.
What is the area of specialization for Kelly E Wedeven, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly E Wedeven is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date was the 1912923871 assigned to Kelly E Wedeven?
The Kelly E Wedeven was issued its 1912923871 on 2006-07-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelly E Wedeven most recently updated or refreshed?
The details pertaining to the Kelly E Wedeven, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-15.