Active NPIIndividual provider

Ms. Kelly-Ann M Fairweather, LMSW

Social Worker in Middletown, New York

NPI Number1275829442
Practice location
210 E Main St Ste 105, Middletown, NY 10940-4038
Fax
—
Last updated
January 17, 2018

Kelly-Ann Monique Fairweather is a Social Worker based in Middletown, NY. Kelly-Ann Monique Fairweather practices in Middletown, NY and has the professional credentials of LMSW. The NPI Number for Kelly-Ann Monique Fairweather is 1275829442 and holds a License No. 44SL05672000 (NJ). The current practice location address for Kelly-Ann Monique Fairweather is 210 E Main St Ste 105, Middletown, NY 10940-4038 and can be reached out via phone at 845-566-0286.

Provider Profile Details

NPI Number
1275829442
Provider Name
Kelly-Ann Monique Fairweather
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
210 E Main St Ste 105, Middletown, NY 10940-4038
Phone Number
845-566-0286
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
June 25, 2011
Last Update Date
January 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 E Main St Ste 105
Middletown, NY 10940-4038
Zip
10940-4038
Phone Number
845-566-0286
Middletown, NY 10940Get directions →

Provider Business Mailing Address Details

Address
27 Lenox Pl
Middletown, NY 10940-5526
City
Middletown
State
NY
Zip
10940-5526
Phone Number
347-512-3636

License Information

License Number
44SL05672000
License State
NJ
Taxonomy
Social Worker · 104100000X · 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 Ms. Kelly-Ann M Fairweather, LMSW?

The NPI number of Ms. Kelly-Ann M Fairweather, LMSW is 1275829442. It was assigned on June 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Kelly-Ann M Fairweather, LMSW?

Ms. Kelly-Ann M Fairweather, LMSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NJ under license number 44SL05672000.

Where does Ms. Kelly-Ann M Fairweather, LMSW practice?

The practice location is 210 E Main St Ste 105, Middletown, NY 10940-4038. The office can be reached at 845-566-0286 (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 1275829442 directly on the NPPES registry website.

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