Kelley R Hendricken in Worcester - Clinical
Kelley R Hendricken - NPI 1184725855
Kelley R Hendricken is a Clinical in Worcester, Massachusetts. Kelley R Hendricken practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelley R Hendricken is 1184725855. The last update date is 2007-07-08.
Kelley R Hendricken's current location address is 20a Gates Rd, Worcester, Massachusetts. You can contact this provider via phone number 7742394161. The mailing address for Kelley R Hendricken is 20a Gates Rd, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley R Hendricken |
|---|---|
| Address | 20a Gates Rd, Worcester, Massachusetts |
| Phone Number | 7742394161 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1184725855 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20a Gates Rd |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16031839 |
| Phone Number | 7742394161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 111101 |
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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 Kelley R Hendricken by the Centers for Medicare & Medicaid Services (CMS)?
The Kelley R Hendricken has been assigned the NPI (National Provider Identifier) 1184725855. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Kelley R Hendricken is physically located?
The Kelley R Hendricken is physically situated at the following address: 20A Gates Rd, Worcester, MA, 16031839.
What is Kelley R Hendricken's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelley R Hendricken's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did Kelley R Hendricken receive its 1184725855 assignment from the Centers for Medicare & Medicaid Services?
The Kelley R Hendricken was assigned its 1184725855 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelley R Hendricken most recently updated?
The details pertaining to the Kelley R Hendricken, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.