Mary Jean Kellett in Louisville - Clinical
Mary Jean Kellett - NPI 1912055054
Mary Jean Kellett is a Clinical in Louisville, Kentucky. Mary Jean Kellett practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Jean Kellett is 1912055054. The last update date is 2007-07-08.
Mary Jean Kellett's current location address is 9812 Shelbyville Rd, Louisville, Kentucky. You can contact this provider via phone number 5024230509 and fax number 5024231599. The mailing address for Mary Jean Kellett is 9812 Shelbyville Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Jean Kellett |
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Address | 9812 Shelbyville Rd, Louisville, Kentucky |
Phone Number | 5024230509 |
Fax Number | 5024231599 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1912055054 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 9812 Shelbyville Rd |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 402232906 |
Phone Number | 5024230509 |
Fax Number | 5024231599 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 954 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Jean Kellett by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Jean Kellett has been assigned the NPI (National Provider Identifier) 1912055054. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mary Jean Kellett's facilities are geographically located?
The facilities of Mary Jean Kellett are physically situated at the following location: 9812 Shelbyville Rd, Louisville, KY, 402232906.
What is Mary Jean Kellett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Jean Kellett's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Mary Jean Kellett receive its 1912055054 assignment from the Centers for Medicare & Medicaid Services?
The Mary Jean Kellett was assigned its 1912055054 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mary Jean Kellett most recently updated or refreshed?
The details pertaining to the Mary Jean Kellett, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.