Brendan Neubecker Kelly in Grand Rapids - Clinical
Brendan Neubecker Kelly - NPI 1225154800
Brendan Neubecker Kelly is a Clinical in Grand Rapids, Michigan. Brendan Neubecker Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brendan Neubecker Kelly is 1225154800. The last update date is 2019-02-25.
Brendan Neubecker Kelly's current location address is 1118 Front Ave Nw Ste 1, Grand Rapids, Michigan. You can contact this provider via phone number 6164586870 and fax number 6164586874. The mailing address for Brendan Neubecker Kelly is 1118 Front Ave Nw Ste 1, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brendan Neubecker Kelly |
|---|---|
| Address | 1118 Front Ave Nw Ste 1, Grand Rapids, Michigan |
| Phone Number | 6164586870 |
| Fax Number | 6164586874 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1225154800 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2019-02-25 |
Provider Mailing Address Detail
| Address | 1118 Front Ave Nw Ste 1 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495047513 |
| Phone Number | 6164586870 |
| Fax Number | 6164586874 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801087301 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 443587 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brendan Neubecker Kelly by the Centers for Medicare & Medicaid Services?
The Brendan Neubecker Kelly has been issued the NPI (National Provider Identifier) 1225154800 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Brendan Neubecker Kelly's facilities are situated?
The facilities of Brendan Neubecker Kelly are physically located at the following address: 1118 Front Ave Nw Ste 1, Grand Rapids, MI, 495047513.
What is the Brendan Neubecker Kelly's specialty and taxonomy code?
The Brendan Neubecker Kelly's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Brendan Neubecker Kelly receive its 1225154800 assignment from the Centers for Medicare & Medicaid Services?
The Brendan Neubecker Kelly was assigned its 1225154800 on 2007-03-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Brendan Neubecker Kelly most recently updated or revised?
The details related to Brendan Neubecker Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY