Jacquelyn A Kelley is a Clinical in Plano, Texas. Jacquelyn A Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacquelyn A Kelley is 1932327756. The last update date is 2007-07-08.
Jacquelyn A Kelley's current location address is 6804 Wild Ridge Ct, Plano, Texas. You can contact this provider via phone number 4696679413 and fax number 4693844922. The mailing address for Jacquelyn A Kelley is 6804 Wild Ridge Ct, Plano, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn A Kelley |
|---|---|
| Address | 6804 Wild Ridge Ct, Plano, Texas |
| Phone Number | 4696679413 |
| Fax Number | 4693844922 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1932327756 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6804 Wild Ridge Ct |
|---|---|
| City | Plano |
| State | Texas (TX) |
| Post Code | 750247467 |
| Phone Number | 4696679413 |
| Fax Number | 4693844922 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 38134 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jacquelyn A Kelley by the Centers for Medicare & Medicaid Services?
The Jacquelyn A Kelley has been issued the NPI (National Provider Identifier) 1932327756 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jacquelyn A Kelley's facilities are situated?
The facilities of Jacquelyn A Kelley are physically located at the following address: 6804 Wild Ridge Ct, Plano, TX, 750247467.
What is Jacquelyn A Kelley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacquelyn A Kelley's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the Jacquelyn A Kelley receive its 1932327756 assignment from the Centers for Medicare & Medicaid Services?
The Jacquelyn A Kelley was assigned its 1932327756 by the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the information related to Jacquelyn A Kelley most recently updated or refreshed?
The details pertaining to the Jacquelyn A Kelley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.