Kathleen Adelaide Shelly in Erie - Clinical
Kathleen Adelaide Shelly - NPI 1679634448
Kathleen Adelaide Shelly is a Clinical in Erie, Pennsylvania. Kathleen Adelaide Shelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathleen Adelaide Shelly is 1679634448. The last update date is 2019-03-22.
Kathleen Adelaide Shelly's current location address is 1330 W 26th St, Erie, Pennsylvania. You can contact this provider via phone number 8144599300. The mailing address for Kathleen Adelaide Shelly is 1330 W 26th St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Adelaide Shelly |
|---|---|
| Address | 1330 W 26th St, Erie, Pennsylvania |
| Phone Number | 8144599300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1679634448 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2019-03-22 |
Provider Mailing Address Detail
| Address | 1330 W 26th St |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165081402 |
| Phone Number | 8144599300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW014047 |
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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 10-digit identifier code issued to Kathleen Adelaide Shelly by the Centers for Medicare & Medicaid Services?
The Kathleen Adelaide Shelly has been assigned the NPI (National Provider Identifier) 1679634448 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathleen Adelaide Shelly?
The Kathleen Adelaide Shelly is physically situated at 1330 W 26Th St, in the city of Erie, state of PA, with the postal code 165081402.
What is the area of specialization for Kathleen Adelaide Shelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kathleen Adelaide Shelly is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679634448 to Kathleen Adelaide Shelly?
The Centers for Medicare & Medicaid Services originally issued the 1679634448 to Kathleen Adelaide Shelly on 2006-12-13.
When was the information regarding Kathleen Adelaide Shelly most recently updated?
The details pertaining to the Kathleen Adelaide Shelly, including its address, specialty, and other relevant information, were last refreshed on 2019-03-22.
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