Kelly E Wedeven in Boise - Clinical

Kelly E Wedeven - NPI 1912923871

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
Address 131 N Allumbaugh St, Boise, Idaho
Phone Number 2083672175
Fax Number 2083760285
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1912923871
Provider Enumeration Date 2006-07-14
Last Updated Date 2023-06-15

Provider Mailing Address Detail

Address 131 N Allumbaugh St
City Boise
State Idaho (ID)
Post Code 837049204
Phone Number 2083672175
Fax Number 2083760285

Provider's Primary Taxonomy Detail

Speciality Clinical
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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FAQs about Kelly E Wedeven

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.

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