Mason Louis Kelly is a Clinical in Chicago, Illinois. Mason Louis Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mason Louis Kelly is 1396801064. The last update date is 2016-12-01.
Mason Louis Kelly's current location address is 8553 S Stony Island Ave, Chicago, Illinois. You can contact this provider via phone number 7739723577 and fax number 8726665512. The mailing address for Mason Louis Kelly is 8553 S Stony Island Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mason Louis Kelly |
|---|---|
| Address | 8553 S Stony Island Ave, Chicago, Illinois |
| Phone Number | 7739723577 |
| Fax Number | 8726665512 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1396801064 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 8553 S Stony Island Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606172249 |
| Phone Number | 7739723577 |
| Fax Number | 8726665512 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149011810 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mason Louis Kelly by the Centers for Medicare & Medicaid Services?
The Mason Louis Kelly has been issued the NPI (National Provider Identifier) 1396801064, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mason Louis Kelly is physically located?
The Mason Louis Kelly is situated at the following address: 8553 S Stony Island Ave, Chicago, IL 606172249.
What is Mason Louis Kelly's area of expertise and its corresponding taxonomy classification?
The Mason Louis Kelly's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did Mason Louis Kelly receive its 1396801064 assignment?
The Mason Louis Kelly was assigned its 1396801064 on 2006-12-28, which is the date when this unique identifier was issued to the organization.
When was the Mason Louis Kelly's information last updated?
The Mason Louis Kelly's information was last updated on 2016-12-01.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC