Kelly Ann Ryan is a Clinical in Montclair, New Jersey. Kelly Ann Ryan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Ann Ryan is 1851360978. The last update date is 2007-07-08.
Kelly Ann Ryan's current location address is 145 Bellevue Avenue, Montclair, New Jersey. You can contact this provider via phone number 9736551260. The mailing address for Kelly Ann Ryan is 145 Bellevue Avenue, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ann Ryan |
|---|---|
| Address | 145 Bellevue Avenue, Montclair, New Jersey |
| Phone Number | 9736551260 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1851360978 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 145 Bellevue Avenue |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 7043 |
| Phone Number | 9736551260 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC01017400 |
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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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What is the unique identifier code issued to Kelly Ann Ryan by the Centers for Medicare & Medicaid Services?
The Kelly Ann Ryan has been assigned the NPI (National Provider Identifier) 1851360978. 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 share the complete physical location address where Kelly Ann Ryan's facilities are situated?
The facilities of Kelly Ann Ryan are physically located at the following address: 145 Bellevue Avenue, Montclair, NJ, 7043.
What is the Kelly Ann Ryan's area of specialization and corresponding taxonomy classification?
The Kelly Ann Ryan's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Kelly Ann Ryan receive its 1851360978?
The Kelly Ann Ryan was issued its 1851360978 on 2006-03-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Kelly Ann Ryan most recently updated or revised?
The information pertaining to Kelly Ann Ryan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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