Maria Klette-Ketchum in Covington - Clinical

Maria Klette-Ketchum - NPI 1447243159

Maria Klette-Ketchum is a Clinical in Covington, Louisiana. Maria Klette-Ketchum practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maria Klette-Ketchum is 1447243159. The last update date is 2018-07-27.

Maria Klette-Ketchum's current location address is 76230 Highway 1083, Covington, Louisiana. You can contact this provider via phone number 9856242266 and fax number 9858980945. The mailing address for Maria Klette-Ketchum is 76230 Highway 1083, Covington, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Maria Klette-Ketchum
Address 76230 Highway 1083, Covington, Louisiana
Phone Number 9856242266
Fax Number 9858980945
Sole Proprietor Y
Credentials MSW, LCSW,

NPI Number Detail

NPI Number 1447243159
Provider Enumeration Date 2005-08-27
Last Updated Date 2018-07-27

Provider Mailing Address Detail

Address 76230 Highway 1083
City Covington
State Louisiana (LA)
Post Code 704354050
Phone Number 9856242266
Fax Number 9858980945

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1895
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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FAQs about Maria Klette-Ketchum

What is the unique provider identifier assigned to Maria Klette-Ketchum?

The Maria Klette-Ketchum has been issued the NPI (National Provider Identifier) 1447243159 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Maria Klette-Ketchum's facilities are geographically located?

The facilities of Maria Klette-Ketchum are physically situated at the following location: 76230 Highway 1083, Covington, LA, 704354050.

What is the area of specialization for Maria Klette-Ketchum, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Maria Klette-Ketchum is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447243159 to Maria Klette-Ketchum?

The Maria Klette-Ketchum received its 1447243159 assignment from the Centers for Medicare & Medicaid Services on 2005-08-27.

As of what date was the information regarding Maria Klette-Ketchum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Maria Klette-Ketchum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-27.

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