Active NPIIndividual providerSole proprietor

Kellie S Bransford, LICSW

Social Worker, Clinical in Burlington, Massachusetts

NPI Number1255416590
Practice location
41 Mall RD, Lahey Clinic, INC., Burlington, MA 01805-0001
Fax
—
Last updated
October 12, 2011

Kellie Smith Bransford is a Social Worker, Clinical based in Burlington, MA. Kellie Smith Bransford practices in Burlington, MA and has the professional credentials of LICSW. The NPI Number for Kellie Smith Bransford is 1255416590 and holds a License No. 111407 (MA). The current practice location address for Kellie Smith Bransford is 41 Mall RD, Lahey Clinic, INC., Burlington, MA 01805-0001 and can be reached out via phone at 781-744-8925.

Provider Profile Details

NPI Number
1255416590
Provider Name
Kellie Smith Bransford
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
41 Mall RD, Lahey Clinic, INC., Burlington, MA 01805-0001
Phone Number
781-744-8925
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Kellie Patricia Smith, LICSW (Former Name)
Provider Enumeration Date
October 26, 2006
Last Update Date
October 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Lahey Clinic, INC.
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-8925
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Lahey Clinic, INC.
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001
Phone Number
781-744-8925

License Information

License Number
111407
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 Kellie S Bransford, LICSW?

The NPI number of Kellie S Bransford, LICSW is 1255416590. It was assigned on October 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Kellie S Bransford, LICSW?

Kellie S Bransford, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111407.

Where does Kellie S Bransford, LICSW practice?

The practice location is 41 Mall RD, Lahey Clinic, INC., Burlington, MA 01805-0001. The office can be reached at 781-744-8925 (phone).

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 1255416590 directly on the NPPES registry website.

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