Regina Kelly is a Clinical in Cambridge, Massachusetts. Regina Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Regina Kelly is 1669543054. The last update date is 2015-11-11.
Regina Kelly's current location address is 1493 Cambridge Street, Cambridge, Massachusetts. You can contact this provider via phone number 6176651616. The mailing address for Regina Kelly is 1493 Cambridge Street, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Regina Kelly |
---|---|
Address | 1493 Cambridge Street, Cambridge, Massachusetts |
Phone Number | 6176651616 |
Fax Number | |
Sole Proprietor | N |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1669543054 |
---|---|
Provider Enumeration Date | 2006-11-10 |
Last Updated Date | 2015-11-11 |
Provider Mailing Address Detail
Address | 1493 Cambridge Street |
---|---|
City | Cambridge |
State | Massachusetts (MA) |
Post Code | 21391047 |
Phone Number | 6176651616 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
---|---|
Taxonomy | 1041C0700X |
Licence No | 104581 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
300010 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Regina Kelly?
The Regina Kelly has been issued the NPI (National Provider Identifier) 1669543054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Regina Kelly's facilities are situated?
The facilities of Regina Kelly are physically located at the following address: 1493 Cambridge Street, Cambridge, MA, 21391047.
What is Regina Kelly's area of expertise and its corresponding taxonomy classification?
The Regina Kelly's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Regina Kelly receive its 1669543054 assignment from the Centers for Medicare & Medicaid Services?
The Regina Kelly was assigned its 1669543054 by the Centers for Medicare & Medicaid Services on 2006-11-10.
When was the information pertaining to Regina Kelly most recently updated or revised?
The details related to Regina Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2015-11-11.