Kelle S Wood is a Clinical in Port Huron, Michigan. Kelle S Wood practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelle S Wood is 1164465084. The last update date is 2019-04-26.
Kelle S Wood's current location address is 1423 Pine Grove Avenue, Port Huron, Michigan. You can contact this provider via phone number 8103579318 and fax number 8104799684. The mailing address for Kelle S Wood is 1423 Pine Grove Avenue, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelle S Wood |
|---|---|
| Address | 1423 Pine Grove Avenue, Port Huron, Michigan |
| Phone Number | 8103579318 |
| Fax Number | 8104799684 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1164465084 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2019-04-26 |
Provider Mailing Address Detail
| Address | 1423 Pine Grove Avenue |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 48060 |
| Phone Number | 8103579318 |
| Fax Number | 8104799684 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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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 Kelle S Wood by the Centers for Medicare & Medicaid Services (CMS)?
The Kelle S Wood has been assigned the NPI (National Provider Identifier) 1164465084. 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 Kelle S Wood is physically located?
The Kelle S Wood is physically situated at the following address: 1423 Pine Grove Avenue, Port Huron, MI, 48060.
What is the Kelle S Wood's specialty and taxonomy code?
The Kelle S Wood's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date was the 1164465084 assigned to Kelle S Wood?
The Kelle S Wood was issued its 1164465084 on 2006-06-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kelle S Wood most recently updated or refreshed?
The details pertaining to the Kelle S Wood, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-26.
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