Jane Anne Kelly is a Clinical in Randolph, New Jersey. Jane Anne Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jane Anne Kelly is 1700939071. The last update date is 2009-10-31.
Jane Anne Kelly's current location address is 37 Ridgewood Dr, Randolph, New Jersey. You can contact this provider via phone number 9732793233 and fax number 9739897750. The mailing address for Jane Anne Kelly is 37 Ridgewood Dr, Randolph, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jane Anne Kelly |
|---|---|
| Address | 37 Ridgewood Dr, Randolph, New Jersey |
| Phone Number | 9732793233 |
| Fax Number | 9739897750 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700939071 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2009-10-31 |
Provider Mailing Address Detail
| Address | 37 Ridgewood Dr |
|---|---|
| City | Randolph |
| State | New Jersey (NJ) |
| Post Code | 78693751 |
| Phone Number | 9732793233 |
| Fax Number | 9739897750 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05338800 |
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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 Jane Anne Kelly's 1700939071?
The Jane Anne Kelly's NPI (National Provider Identifier) Number is 1700939071. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jane Anne Kelly's physical address?
The Jane Anne Kelly is physically located at 37 Ridgewood Dr, in the city of Randolph, NJ, with the postal code 78693751.
What is Jane Anne Kelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jane Anne Kelly is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700939071 to Jane Anne Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1700939071 to Jane Anne Kelly on 2007-01-19.
As of what date was the information regarding Jane Anne Kelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jane Anne Kelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-31.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA