Kelli Lo is a Clinical in Granger, Indiana. Kelli Lo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelli Lo is 1750501862. The last update date is 2007-07-08.
Kelli Lo's current location address is 51564 Countryside Dr, Granger, Indiana. You can contact this provider via phone number 5742433391. The mailing address for Kelli Lo is 51564 Countryside Dr, Granger, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli Lo |
|---|---|
| Address | 51564 Countryside Dr, Granger, Indiana |
| Phone Number | 5742433391 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LSW |
NPI Number Detail
| NPI Number | 1750501862 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 51564 Countryside Dr |
|---|---|
| City | Granger |
| State | Indiana (IN) |
| Post Code | 465304255 |
| Phone Number | 5742433391 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 33005234A |
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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 Kelli Lo's unique identification number?
The Kelli Lo has been assigned the NPI (National Provider Identifier) Number 1750501862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kelli Lo's facilities are situated?
The facilities of Kelli Lo are physically located at the following address: 51564 Countryside Dr, Granger, IN, 465304255.
What is Kelli Lo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelli Lo is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Kelli Lo receive its 1750501862 assignment from the Centers for Medicare & Medicaid Services?
The Kelli Lo was assigned its 1750501862 on 2007-04-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelli Lo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelli Lo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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