Ginny Lynn Kelly in Lakeville - Clinical

Ginny Lynn Kelly - NPI 1619980992

Ginny Lynn Kelly is a Clinical in Lakeville, Massachusetts. Ginny Lynn Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ginny Lynn Kelly is 1619980992. The last update date is 2007-07-08.

Ginny Lynn Kelly's current location address is 104 Charles Eldridge Dr, Lakeville, Massachusetts. You can contact this provider via phone number 5089471683 and fax number 5089471684. The mailing address for Ginny Lynn Kelly is 104 Charles Eldridge Dr, Lakeville, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Ginny Lynn Kelly
Address 104 Charles Eldridge Dr, Lakeville, Massachusetts
Phone Number 5089471683
Fax Number 5089471684
Sole Proprietor N
Credentials LICSW

NPI Number Detail

NPI Number 1619980992
Provider Enumeration Date 2006-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 104 Charles Eldridge Dr
City Lakeville
State Massachusetts (MA)
Post Code 2347
Phone Number 5089471683
Fax Number 5089471684

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1028860
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
1890140 MA --
P07349 BCBS
2023330 CIGNA
33106235301 PACIFICARE
349493 MAGELLAN
469030 TUFTS
159505 VALUE OPTIONS
410720 BLUE CHIP

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FAQs about Ginny Lynn Kelly

What is the Ginny Lynn Kelly's unique identification number?

The Ginny Lynn Kelly has been assigned the NPI (National Provider Identifier) Number 1619980992 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 address where Ginny Lynn Kelly is geographically located?

The Ginny Lynn Kelly is physically situated at the following location: 104 Charles Eldridge Dr, Lakeville, MA, 2347.

What is Ginny Lynn Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ginny Lynn Kelly is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

When was the Ginny Lynn Kelly's 1619980992 issued?

The Ginny Lynn Kelly's 1619980992 was issued on 2006-08-15.

When was the Ginny Lynn Kelly's information last updated?

The Ginny Lynn Kelly's information was last updated on 2007-07-08.

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