Jennifer Ann Kelly in Columbia - Clinical
Jennifer Ann Kelly - NPI 1912103656
Jennifer Ann Kelly is a Clinical in Columbia, Illinois. Jennifer Ann Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jennifer Ann Kelly is 1912103656. The last update date is 2015-02-11.
Jennifer Ann Kelly's current location address is 2846 Robert Dr, Columbia, Illinois. You can contact this provider via phone number 6187090010 and fax number 6183974503. The mailing address for Jennifer Ann Kelly is 2846 Robert Dr, Columbia, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Ann Kelly |
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Address | 2846 Robert Dr, Columbia, Illinois |
Phone Number | 6187090010 |
Fax Number | 6183974503 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1912103656 |
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Provider Enumeration Date | 2007-06-21 |
Last Updated Date | 2015-02-11 |
Provider Mailing Address Detail
Address | 2846 Robert Dr |
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City | Columbia |
State | Illinois (IL) |
Post Code | 622362674 |
Phone Number | 6187090010 |
Fax Number | 6183974503 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 149012043 |
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 issued to Jennifer Ann Kelly by the Centers for Medicare & Medicaid Services?
The Jennifer Ann Kelly has been assigned the NPI (National Provider Identifier) 1912103656 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jennifer Ann Kelly is geographically located?
The Jennifer Ann Kelly is physically situated at the following location: 2846 Robert Dr, Columbia, IL, 622362674.
What is the area of specialization for Jennifer Ann Kelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Ann Kelly is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Jennifer Ann Kelly receive the assignment of its 1912103656 from the Centers for Medicare & Medicaid Services?
The Jennifer Ann Kelly was issued its 1912103656 by the Centers for Medicare & Medicaid Services on 2007-06-21.
When was the information pertaining to Jennifer Ann Kelly most recently updated or revised?
The details related to Jennifer Ann Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2015-02-11.
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