Kelli Churchill in Mandeville - Clinical

Kelli Churchill - NPI 1154534097

Kelli Churchill is a Clinical in Mandeville, Louisiana. Kelli Churchill practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelli Churchill is 1154534097. The last update date is 2012-01-30.

Kelli Churchill's current location address is 1925 America St, Mandeville, Louisiana. You can contact this provider via phone number 9856308350. The mailing address for Kelli Churchill is 1925 America St, Mandeville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelli Churchill
Address 1925 America St, Mandeville, Louisiana
Phone Number 9856308350
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1154534097
Provider Enumeration Date 2007-05-07
Last Updated Date 2012-01-30

Provider Mailing Address Detail

Address 1925 America St
City Mandeville
State Louisiana (LA)
Post Code 704483802
Phone Number 9856308350
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 7735
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 Kelli Churchill

What is the unique 10-digit identification code issued to Kelli Churchill by the Centers for Medicare & Medicaid Services?

The Kelli Churchill has been assigned the NPI (National Provider Identifier) 1154534097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kelli Churchill is physically located?

The Kelli Churchill is situated at the following address: 1925 America St, Mandeville, LA 704483802.

What is Kelli Churchill's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelli Churchill's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154534097 to Kelli Churchill?

The Centers for Medicare & Medicaid Services originally issued the 1154534097 to Kelli Churchill on 2007-05-07.

When was the information related to Kelli Churchill most recently updated or refreshed?

The details pertaining to the Kelli Churchill, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-30.

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