Nefertimah Kelly is a Clinical in Desoto, Texas. Nefertimah Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nefertimah Kelly is 1366649923. The last update date is 2007-07-08.
Nefertimah Kelly's current location address is 828 Mulberry Ln, Desoto, Texas. You can contact this provider via phone number 9722309939. The mailing address for Nefertimah Kelly is 828 Mulberry Ln, Desoto, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nefertimah Kelly |
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Address | 828 Mulberry Ln, Desoto, Texas |
Phone Number | 9722309939 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1366649923 |
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Provider Enumeration Date | 2007-06-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 828 Mulberry Ln |
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City | Desoto |
State | Texas (TX) |
Post Code | 75115 |
Phone Number | 9722309939 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 35363 |
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 identifier code issued to Nefertimah Kelly by the Centers for Medicare & Medicaid Services?
The Nefertimah Kelly has been assigned the NPI (National Provider Identifier) 1366649923. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Nefertimah Kelly?
The Nefertimah Kelly is physically situated at 828 Mulberry Ln, in the city of Desoto, state of TX, with the postal code 75115.
What is Nefertimah Kelly's area of expertise and its corresponding taxonomy classification?
The Nefertimah Kelly's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1366649923 to Nefertimah Kelly?
The Centers for Medicare & Medicaid Services assigned the 1366649923 to Nefertimah Kelly on 2007-06-28.
When was the information pertaining to Nefertimah Kelly most recently updated or revised?
The details related to Nefertimah Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.