Tracey D Kelley is a Clinical in Evansville, Indiana. Tracey D Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracey D Kelley is 1306857438. The last update date is 2015-10-09.
Tracey D Kelley's current location address is 60 S Stockwell Rd, Evansville, Indiana. You can contact this provider via phone number 8124765437 and fax number 8124227558. The mailing address for Tracey D Kelley is 60 S Stockwell Rd, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey D Kelley |
|---|---|
| Address | 60 S Stockwell Rd, Evansville, Indiana |
| Phone Number | 8124765437 |
| Fax Number | 8124227558 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1306857438 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2015-10-09 |
Provider Mailing Address Detail
| Address | 60 S Stockwell Rd |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477140247 |
| Phone Number | 8124765437 |
| Fax Number | 8124227558 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000059A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 839090FFF | IN | MEDICARE | |
| 800006285 | IN | RAILROAD | |
| 100240880 | IN | -- | |
| 11490321 | IN | CAQH | |
| 177009 | IN | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tracey D Kelley by the Centers for Medicare & Medicaid Services?
The Tracey D Kelley has been issued the NPI (National Provider Identifier) 1306857438 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tracey D Kelley?
The Tracey D Kelley is physically situated at 60 S Stockwell Rd, in the city of Evansville, state of IN, with the postal code 477140247.
What is Tracey D Kelley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracey D Kelley's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Tracey D Kelley receive its 1306857438 assignment from the Centers for Medicare & Medicaid Services?
The Tracey D Kelley was assigned its 1306857438 by the Centers for Medicare & Medicaid Services on 2006-08-11.
When was the Tracey D Kelley's information last updated?
The Tracey D Kelley's information was last updated on 2015-10-09.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN