Kelly Larosa is a Clinical in Springfield, Illinois. Kelly Larosa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Larosa is 1255303830. The last update date is 2013-04-16.
Kelly Larosa's current location address is 5850 S 6th Street Rd, Springfield, Illinois. You can contact this provider via phone number 2175295046 and fax number 2175296154. The mailing address for Kelly Larosa is 5850 S 6th Street Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Larosa |
|---|---|
| Address | 5850 S 6th Street Rd, Springfield, Illinois |
| Phone Number | 2175295046 |
| Fax Number | 2175296154 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1255303830 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2013-04-16 |
Provider Mailing Address Detail
| Address | 5850 S 6th Street Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627035162 |
| Phone Number | 2175295046 |
| Fax Number | 2175296154 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149001132 |
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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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What is the unique 10-digit identifier code issued to Kelly Larosa by the Centers for Medicare & Medicaid Services?
The Kelly Larosa has been assigned the NPI (National Provider Identifier) 1255303830 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kelly Larosa is physically located?
The Kelly Larosa is situated at the following address: 5850 S 6Th Street Rd, Springfield, IL 627035162.
What is the area of specialization for Kelly Larosa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Larosa is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Kelly Larosa receive the assignment of its 1255303830 from the Centers for Medicare & Medicaid Services?
The Kelly Larosa was issued its 1255303830 by the Centers for Medicare & Medicaid Services on 2006-02-07.
As of what date was the information regarding Kelly Larosa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kelly Larosa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-16.
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