Renee Sarah Kelly is a Clinical in Rego Park, New York. Renee Sarah Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Renee Sarah Kelly is 1144391012. The last update date is 2007-07-08.
Renee Sarah Kelly's current location address is 9729 64th Rd, Rego Park, New York. You can contact this provider via phone number 7188963400 and fax number 7184595621. The mailing address for Renee Sarah Kelly is 9729 64th Rd, Rego Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Sarah Kelly |
|---|---|
| Address | 9729 64th Rd, Rego Park, New York |
| Phone Number | 7188963400 |
| Fax Number | 7184595621 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1144391012 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9729 64th Rd |
|---|---|
| City | Rego Park |
| State | New York (NY) |
| Post Code | 113742240 |
| Phone Number | 7188963400 |
| Fax Number | 7184595621 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 61923 |
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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 |
|---|---|---|---|
| 244019 | NY | MEDICAID PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Renee Sarah Kelly by the Centers for Medicare & Medicaid Services?
The Renee Sarah Kelly has been issued the NPI (National Provider Identifier) 1144391012, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Renee Sarah Kelly?
The Renee Sarah Kelly is physically situated at 9729 64Th Rd, in the city of Rego Park, state of NY, with the postal code 113742240.
What is the Renee Sarah Kelly's area of specialization and corresponding taxonomy classification?
The Renee Sarah Kelly's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144391012 to Renee Sarah Kelly?
The Centers for Medicare & Medicaid Services originally issued the 1144391012 to Renee Sarah Kelly on 2006-11-13.
When was the Renee Sarah Kelly's information last updated?
The Renee Sarah Kelly's information was last updated on 2007-07-08.
NPI Number: 1063415297
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