Keely Petri is a Clinical in Woburn, Massachusetts. Keely Petri practices all healthcare services and medical treatments related to Clinical. The NPI Number for Keely Petri is 1972760643. The last update date is 2008-05-20.
Keely Petri's current location address is 15a Nichols St, Woburn, Massachusetts. You can contact this provider via phone number 7812667335. The mailing address for Keely Petri is 15a Nichols St, Woburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keely Petri |
|---|---|
| Address | 15a Nichols St, Woburn, Massachusetts |
| Phone Number | 7812667335 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1972760643 |
|---|---|
| Provider Enumeration Date | 2008-05-20 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 15a Nichols St |
|---|---|
| City | Woburn |
| State | Massachusetts (MA) |
| Post Code | 18011525 |
| Phone Number | 7812667335 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 113838 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Keely Petri by the Centers for Medicare & Medicaid Services (CMS)?
The Keely Petri has been assigned the NPI (National Provider Identifier) 1972760643. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Keely Petri's facilities are geographically located?
The facilities of Keely Petri are physically situated at the following location: 15A Nichols St, Woburn, MA, 18011525.
What is Keely Petri's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keely Petri is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Keely Petri receive its 1972760643 assignment from the Centers for Medicare & Medicaid Services?
The Keely Petri was assigned its 1972760643 by the Centers for Medicare & Medicaid Services on 2008-05-20.
When was the information regarding Keely Petri, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Keely Petri, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-20.