Kelly Reno is a Clinical in Pottsville, Pennsylvania. Kelly Reno practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Reno is 1164563698. The last update date is 2021-04-29.
Kelly Reno's current location address is 115 South Centre Street Lower Level, Pottsville, Pennsylvania. You can contact this provider via phone number 5706221025 and fax number 5706284344. The mailing address for Kelly Reno is 115 South Centre Street Lower Level, Pottsville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Reno |
|---|---|
| Address | 115 South Centre Street Lower Level, Pottsville, Pennsylvania |
| Phone Number | 5706221025 |
| Fax Number | 5706284344 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1164563698 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2021-04-29 |
Provider Mailing Address Detail
| Address | 115 South Centre Street Lower Level |
|---|---|
| City | Pottsville |
| State | Pennsylvania (PA) |
| Post Code | 179012706 |
| Phone Number | 5706221025 |
| Fax Number | 5706284344 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CW015209 |
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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 provider identifier assigned to Kelly Reno?
The Kelly Reno has been issued the NPI (National Provider Identifier) 1164563698 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Kelly Reno is physically located?
The Kelly Reno is situated at the following address: 115 South Centre Street Lower Level, Pottsville, PA 179012706.
What is Kelly Reno'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 Kelly Reno is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
When did Kelly Reno receive its 1164563698 assignment?
The Kelly Reno was assigned its 1164563698 on 2007-02-09, which is the date when this unique identifier was issued to the organization.
As of what date were the Kelly Reno's details last updated?
The information pertaining to the Kelly Reno, including its address, specialty, and other details, was most recently updated on 2021-04-29.
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