Active NPIIndividual providerSole proprietor

Thomas H Kelley, LICSW

Social Worker, Clinical in Andover, Massachusetts

NPI Number1134289515
Practice location
26 Chestnut St, 2A, Andover, MA 01810-3600
Fax
978-470-3767
Last updated
July 8, 2007

Thomas H Kelley is a Social Worker, Clinical based in Andover, MA. Thomas H Kelley practices in Andover, MA and has the professional credentials of LICSW. The NPI Number for Thomas H Kelley is 1134289515 and holds a License No. 102788 (MA). The current practice location address for Thomas H Kelley is 26 Chestnut St, 2A, Andover, MA 01810-3600 and can be reached out via phone at 978-470-3348 and via fax at 978-470-3767.

Provider Profile Details

NPI Number
1134289515
Provider Name
Thomas H Kelley
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
26 Chestnut St, 2A, Andover, MA 01810-3600
Phone Number
978-470-3348
Fax Number
978-470-3767
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 8, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Chestnut St
2A
Andover, MA 01810-3600
Zip
01810-3600
Phone Number
978-470-3348
Fax Number
978-470-3767
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
64 Aspen Dr
Atkinson, NH 03811-2715
City
Atkinson
State
NH
Zip
03811-2715
Phone Number
603-362-6073

License Information

License Number
102788
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Thomas H Kelley, LICSW?

The NPI number of Thomas H Kelley, LICSW is 1134289515. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Thomas H Kelley, LICSW?

Thomas H Kelley, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 102788.

Where does Thomas H Kelley, LICSW practice?

The practice location is 26 Chestnut St, 2A, Andover, MA 01810-3600. The office can be reached at 978-470-3348 (phone) or 978-470-3767 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134289515 directly on the NPPES registry website.

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