Judith Claire Kelly in Roseville - Clinical

Judith Claire Kelly - NPI 1700093317

Judith Claire Kelly is a Clinical in Roseville, California. Judith Claire Kelly practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judith Claire Kelly is 1700093317. The last update date is 2007-07-08.

Judith Claire Kelly's current location address is 411 Oak St, Roseville, California. You can contact this provider via phone number 9167833420 and fax number 9167715263. The mailing address for Judith Claire Kelly is 411 Oak St, Roseville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Claire Kelly
Address 411 Oak St, Roseville, California
Phone Number 9167833420
Fax Number 9167715263
Sole Proprietor Y
Credentials LCSW, CSAT

NPI Number Detail

NPI Number 1700093317
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 411 Oak St
City Roseville
State California (CA)
Post Code 956782618
Phone Number 9167833420
Fax Number 9167715263

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS15222
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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FAQs about Judith Claire Kelly

What is the Judith Claire Kelly's unique identification number?

The Judith Claire Kelly has been assigned the NPI (National Provider Identifier) Number 1700093317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Judith Claire Kelly's facilities are situated?

The facilities of Judith Claire Kelly are physically located at the following address: 411 Oak St, Roseville, CA, 956782618.

What is Judith Claire Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Judith Claire Kelly is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Judith Claire Kelly receive its 1700093317 assignment from the Centers for Medicare & Medicaid Services?

The Judith Claire Kelly was assigned its 1700093317 by the Centers for Medicare & Medicaid Services on 2007-05-16.

As of what date were the Judith Claire Kelly's details last updated?

The information pertaining to the Judith Claire Kelly, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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