Stella Grace Keddie in Pittsburgh - Clinical

Stella Grace Keddie - NPI 1255385290

Stella Grace Keddie is a Clinical in Pittsburgh, Pennsylvania. Stella Grace Keddie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Stella Grace Keddie is 1255385290. The last update date is 2007-07-08.

Stella Grace Keddie's current location address is 37 Mcmurray Road, Pittsburgh, Pennsylvania. You can contact this provider via phone number 7128543602 and fax number 4128542121. The mailing address for Stella Grace Keddie is 37 Mcmurray Road, Pittsburgh, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Stella Grace Keddie
Address 37 Mcmurray Road, Pittsburgh, Pennsylvania
Phone Number 7128543602
Fax Number 4128542121
Sole Proprietor X
Credentials MSW LCSW

NPI Number Detail

NPI Number 1255385290
Provider Enumeration Date 2006-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 37 Mcmurray Road
City Pittsburgh
State Pennsylvania (PA)
Post Code 15241
Phone Number 7128543602
Fax Number 4128542121

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No CW012829
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
123807 VALUE OPTIONS
296639 MHN
895522 HIGHMARK

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FAQs about Stella Grace Keddie

What is the Stella Grace Keddie's unique identification number?

The Stella Grace Keddie has been assigned the NPI (National Provider Identifier) Number 1255385290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Stella Grace Keddie is physically located?

The Stella Grace Keddie is physically situated at the following address: 37 Mcmurray Road, Pittsburgh, PA, 15241.

What is the Stella Grace Keddie's specialty and taxonomy code?

The Stella Grace Keddie's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.

On what date did the Stella Grace Keddie receive its 1255385290 assignment from the Centers for Medicare & Medicaid Services?

The Stella Grace Keddie was assigned its 1255385290 by the Centers for Medicare & Medicaid Services on 2006-05-22.

When was the information regarding Stella Grace Keddie, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stella Grace Keddie, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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