Teresa Kelly is a Clinical in Locust Valley, New York. Teresa Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teresa Kelly is 1053522102. The last update date is 2021-02-26.
Teresa Kelly's current location address is 48 13th St, Locust Valley, New York. You can contact this provider via phone number 5166760705. The mailing address for Teresa Kelly is 48 13th St, Locust Valley, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa Kelly |
|---|---|
| Address | 48 13th St, Locust Valley, New York |
| Phone Number | 5166760705 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW-R |
NPI Number Detail
| NPI Number | 1053522102 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2021-02-26 |
Provider Mailing Address Detail
| Address | 48 13th St |
|---|---|
| City | Locust Valley |
| State | New York (NY) |
| Post Code | 115601526 |
| Phone Number | 5166760705 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | R0558451 |
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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 Teresa Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Teresa Kelly has been assigned the NPI (National Provider Identifier) 1053522102. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Teresa Kelly is physically located?
The Teresa Kelly is situated at the following address: 48 13Th St, Locust Valley, NY 115601526.
What is Teresa Kelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Teresa Kelly is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Teresa Kelly receive the assignment of its 1053522102 from the Centers for Medicare & Medicaid Services?
The Teresa Kelly was issued its 1053522102 by the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the information pertaining to Teresa Kelly most recently updated or revised?
The details related to Teresa Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2021-02-26.
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