Andrea Elizabeth Killam in Wellesley - Clinical

Andrea Elizabeth Killam - NPI 1700853587

Andrea Elizabeth Killam is a Clinical in Wellesley, Massachusetts. Andrea Elizabeth Killam practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea Elizabeth Killam is 1700853587. The last update date is 2007-07-08.

Andrea Elizabeth Killam's current location address is 11 River Street, Wellesley, Massachusetts. You can contact this provider via phone number 7814311177 and fax number 7814311181. The mailing address for Andrea Elizabeth Killam is 11 River Street, Wellesley, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea Elizabeth Killam
Address 11 River Street, Wellesley, Massachusetts
Phone Number 7814311177
Fax Number 7814311181
Sole Proprietor X
Credentials LICSW

NPI Number Detail

NPI Number 1700853587
Provider Enumeration Date 2006-03-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11 River Street
City Wellesley
State Massachusetts (MA)
Post Code 24812098
Phone Number 7814311177
Fax Number 7814311181

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 110034
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 Andrea Elizabeth Killam

What is the unique identifier code issued to Andrea Elizabeth Killam by the Centers for Medicare & Medicaid Services?

The Andrea Elizabeth Killam has been assigned the NPI (National Provider Identifier) 1700853587. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Andrea Elizabeth Killam?

The Andrea Elizabeth Killam is physically situated at 11 River Street, in the city of Wellesley, state of MA, with the postal code 24812098.

What is the Andrea Elizabeth Killam's specialty and taxonomy code?

The Andrea Elizabeth Killam's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Andrea Elizabeth Killam receive its 1700853587 assignment from the Centers for Medicare & Medicaid Services?

The Andrea Elizabeth Killam was assigned its 1700853587 by the Centers for Medicare & Medicaid Services on 2006-03-01.

As of what date was the information pertaining to Andrea Elizabeth Killam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Andrea Elizabeth Killam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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