Kelly Haywood Mathabela in Austin - Clinical
Kelly Haywood Mathabela - NPI 1538228416
Kelly Haywood Mathabela is a Clinical in Austin, Texas. Kelly Haywood Mathabela practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Haywood Mathabela is 1538228416. The last update date is 2007-07-08.
Kelly Haywood Mathabela's current location address is 2515 S Congress Ave, Austin, Texas. You can contact this provider via phone number 5128547082. The mailing address for Kelly Haywood Mathabela is 2515 S Congress Ave, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Haywood Mathabela |
|---|---|
| Address | 2515 S Congress Ave, Austin, Texas |
| Phone Number | 5128547082 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1538228416 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2515 S Congress Ave |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787045513 |
| Phone Number | 5128547082 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 39250 |
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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 identification code issued to Kelly Haywood Mathabela by the Centers for Medicare & Medicaid Services?
The Kelly Haywood Mathabela has been assigned the NPI (National Provider Identifier) 1538228416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kelly Haywood Mathabela's physical address?
The Kelly Haywood Mathabela is physically located at 2515 S Congress Ave, in the city of Austin, TX, with the postal code 787045513.
What is Kelly Haywood Mathabela's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Haywood Mathabela's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date was the 1538228416 assigned to Kelly Haywood Mathabela?
The Kelly Haywood Mathabela was issued its 1538228416 on 2006-12-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kelly Haywood Mathabela's details last updated?
The information pertaining to the Kelly Haywood Mathabela, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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