Cathleen M Kelley is a Clinical in Williston, Vermont. Cathleen M Kelley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cathleen M Kelley is 1366408098. The last update date is 2017-04-06.
Cathleen M Kelley's current location address is 46 Mcmullen Ln, Williston, Vermont. You can contact this provider via phone number 8028783077 and fax number 8026563485. The mailing address for Cathleen M Kelley is 46 Mcmullen Ln, Williston, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cathleen M Kelley |
|---|---|
| Address | 46 Mcmullen Ln, Williston, Vermont |
| Phone Number | 8028783077 |
| Fax Number | 8026563485 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1366408098 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2017-04-06 |
Provider Mailing Address Detail
| Address | 46 Mcmullen Ln |
|---|---|
| City | Williston |
| State | Vermont (VT) |
| Post Code | 54051764 |
| Phone Number | 8028783077 |
| Fax Number | 8026563485 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 890000277 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28173 | VT | BLUE CROSS BLUE SHIELD | |
| 1007281 | VT | -- | |
| 2302377 | CIGNA BEHAVIORAL HEALTH | ||
| 94775 | VALUE OPTIONS |
Post Comment/ Review Below
What is the unique identification code assigned to Cathleen M Kelley by the Centers for Medicare & Medicaid Services?
The Cathleen M Kelley has been issued the NPI (National Provider Identifier) 1366408098. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Cathleen M Kelley?
The Cathleen M Kelley is situated at 46 Mcmullen Ln, in the city of Williston, state of VT, with the zip code 54051764.
What is the Cathleen M Kelley's specialty and taxonomy code?
The Cathleen M Kelley's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366408098 to Cathleen M Kelley?
The Centers for Medicare & Medicaid Services assigned the 1366408098 to Cathleen M Kelley on 2006-04-21.
As of what date were the details pertaining to Cathleen M Kelley last refreshed?
The information related to the Cathleen M Kelley, including its address, specialty, and other relevant details, was last updated on 2017-04-06.