Shanae Kelley is a Clinical in Indianapolis, Indiana. Shanae Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shanae Kelley is 1174715973. The last update date is 2023-06-24.
Shanae Kelley's current location address is 3505 Washington Blvd, Indianapolis, Indiana. You can contact this provider via phone number 3179205900. The mailing address for Shanae Kelley is 3505 Washington Blvd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shanae Kelley |
|---|---|
| Address | 3505 Washington Blvd, Indianapolis, Indiana |
| Phone Number | 3179205900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174715973 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2023-06-24 |
Provider Mailing Address Detail
| Address | 3505 Washington Blvd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462053718 |
| Phone Number | 3179205900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34009041A |
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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 Shanae Kelley by the Centers for Medicare & Medicaid Services?
The Shanae Kelley has been issued the NPI (National Provider Identifier) 1174715973, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shanae Kelley?
The Shanae Kelley is situated at 3505 Washington Blvd, in the city of Indianapolis, state of IN, with the zip code 462053718.
What is Shanae Kelley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shanae Kelley is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Shanae Kelley's 1174715973 issued?
The Shanae Kelley's 1174715973 was issued on 2007-08-15.
When was the information related to Shanae Kelley most recently updated or refreshed?
The details pertaining to the Shanae Kelley, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-24.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC