Mary Morris Kelley in New Bedford - Clinical
Mary Morris Kelley - NPI 1861474066
Mary Morris Kelley is a Clinical in New Bedford, Massachusetts. Mary Morris Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Morris Kelley is 1861474066. The last update date is 2007-07-08.
Mary Morris Kelley's current location address is 384 County St, New Bedford, Massachusetts. You can contact this provider via phone number 5089965418 and fax number 5089965474. The mailing address for Mary Morris Kelley is 384 County St, New Bedford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Morris Kelley |
|---|---|
| Address | 384 County St, New Bedford, Massachusetts |
| Phone Number | 5089965418 |
| Fax Number | 5089965474 |
| Sole Proprietor | X |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1861474066 |
|---|---|
| Provider Enumeration Date | 2005-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 384 County St |
|---|---|
| City | New Bedford |
| State | Massachusetts (MA) |
| Post Code | 27404980 |
| Phone Number | 5089965418 |
| Fax Number | 5089965474 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 110374 |
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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 |
|---|---|---|---|
| 2182448 | MA | CIGNA | |
| 460410 | MA | TUFTS HEALTH PLAN | |
| PO8093 | MA | BC/BS OF MASSACHUSETTS | |
| 26547-0 | RI | BC/BS OF RHODE ISLAND | |
| 410491 | RI | OTHER RI BC/BS PLANS |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Morris Kelley by the Centers for Medicare & Medicaid Services?
The Mary Morris Kelley has been assigned the NPI (National Provider Identifier) 1861474066. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Morris Kelley?
The Mary Morris Kelley is situated at 384 County St, in the city of New Bedford, state of MA, with the zip code 27404980.
What is the area of specialization for Mary Morris Kelley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Morris Kelley is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
When did Mary Morris Kelley receive its 1861474066 assignment?
The Mary Morris Kelley was assigned its 1861474066 on 2005-11-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Mary Morris Kelley last refreshed?
The information related to the Mary Morris Kelley, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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