Active NPIIndividual providerSole proprietor

Pamela Killen, LICSW

Social Worker, Clinical in Nantucket, Massachusetts

NPI Number1265032189
Practice location
63 Vestal St, Nantucket, MA 02554-2628
Fax
—
Last updated
October 29, 2020

Pamela Killen is a Social Worker, Clinical based in Nantucket, MA. Pamela Killen practices in Nantucket, MA and has the professional credentials of LICSW. The NPI Number for Pamela Killen is 1265032189 and holds a License No. 111346 (MA). The current practice location address for Pamela Killen is 63 Vestal St, Nantucket, MA 02554-2628 and can be reached out via phone at 508-332-8934.

Provider Profile Details

NPI Number
1265032189
Provider Name
Pamela Killen
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
63 Vestal St, Nantucket, MA 02554-2628
Phone Number
508-332-8934
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 29, 2020
Last Update Date
October 29, 2020
Certification Date
October 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Vestal St
Nantucket, MA 02554-2628
Zip
02554-2628
Phone Number
508-332-8934
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
63 Vestal St
Nantucket, MA 02554-2628
City
Nantucket
State
MA
Zip
02554-2628
Phone Number
508-332-8934

License Information

License Number
111346
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 Pamela Killen, LICSW?

The NPI number of Pamela Killen, LICSW is 1265032189. It was assigned on October 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Pamela Killen, LICSW?

Pamela Killen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111346.

Where does Pamela Killen, LICSW practice?

The practice location is 63 Vestal St, Nantucket, MA 02554-2628. The office can be reached at 508-332-8934 (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 1265032189 directly on the NPPES registry website.

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