Kathryn Kellison is a Clinical in Augusta, Maine. Kathryn Kellison practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Kellison is 1265566244. The last update date is 2007-07-08.
Kathryn Kellison's current location address is 74 Winthrop St, Augusta, Maine. You can contact this provider via phone number 2076224774 and fax number 2076224774. The mailing address for Kathryn Kellison is 74 Winthrop St, Augusta, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathryn Kellison |
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Address | 74 Winthrop St, Augusta, Maine |
Phone Number | 2076224774 |
Fax Number | 2076224774 |
Sole Proprietor | Y |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1265566244 |
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Provider Enumeration Date | 2007-03-14 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 74 Winthrop St |
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City | Augusta |
State | Maine (ME) |
Post Code | 43305544 |
Phone Number | 2076224774 |
Fax Number | 2076224774 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LC2584 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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11152 | ME | ANTHEM PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kathryn Kellison?
The Kathryn Kellison has been issued the NPI (National Provider Identifier) 1265566244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kathryn Kellison?
The Kathryn Kellison is physically situated at 74 Winthrop St, in the city of Augusta, state of ME, with the postal code 43305544.
What is Kathryn Kellison's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kathryn Kellison's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When did Kathryn Kellison receive its 1265566244 assignment?
The Kathryn Kellison was assigned its 1265566244 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
When was the Kathryn Kellison's information last updated?
The Kathryn Kellison's information was last updated on 2007-07-08.
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