Mrs. Mary E Kelleher, LICSW
Social Worker, Clinical in South Boston, Massachusetts
1295798114- Practice location
- 58 Old Colony Ave, South Boston, MA 02127-2406
- Phone
- 617-268-1700
- Fax
- 617-268-1991
- Last updated
- March 25, 2014
Mary Elizabeth Kelleher is a Social Worker, Clinical based in South Boston, MA. Mary Elizabeth Kelleher practices in South Boston, MA and has the professional credentials of LICSW. The NPI Number for Mary Elizabeth Kelleher is 1295798114 and holds a License No. 105438 (MA). The current practice location address for Mary Elizabeth Kelleher is 58 Old Colony Ave, South Boston, MA 02127-2406 and can be reached out via phone at 617-268-1700 and via fax at 617-268-1991.
Provider Profile Details
- NPI Number
- 1295798114
- Provider Name
- Mary Elizabeth Kelleher
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 58 Old Colony Ave, South Boston, MA 02127-2406
- Phone Number
- 617-268-1700
- Fax Number
- 617-268-1991
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Mrs. Mary Bryan Kelleher, LICSW (Professional Name)
- Provider Enumeration Date
- April 11, 2006
- Last Update Date
- March 25, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 58 Old Colony Ave
South Boston, MA 02127-2406 - City
- South Boston
- State
- Massachusetts
- Zip
- 02127-2406
- Phone Number
- 617-268-1700
- Fax Number
- 617-268-1991
Provider Business Mailing Address Details
- Address
- 19 Mayfair St
Norwood, MA 02062-1201 - City
- Norwood
- State
- MA
- Zip
- 02062-1201
- Phone Number
- 781-762-6335
License Information
- License Number
- 105438
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near South Boston, MA
View all Social Worker, Clinical providers in South Boston →- Alexa PiacenzaSocial Worker, Clinical · NPI 1346841608
- Alice A KenneySocial Worker, Clinical · NPI 1639847940
- Alisha K Hawthorne, LMSWSocial Worker, Clinical · NPI 1437570538
- Andrea VandnehoeckSocial Worker, Clinical · NPI 1841878568
- Carol MalinowskiSocial Worker, Clinical · NPI 1760971097
- Catherine B TheriaultSocial Worker, Clinical · NPI 1457808263
Frequently Asked Questions
What is the NPI number of Mrs. Mary E Kelleher, LICSW?
The NPI number of Mrs. Mary E Kelleher, LICSW is 1295798114. It was assigned on April 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mary E Kelleher, LICSW?
Mrs. Mary E Kelleher, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105438.
Where does Mrs. Mary E Kelleher, LICSW practice?
The practice location is 58 Old Colony Ave, South Boston, MA 02127-2406. The office can be reached at 617-268-1700 (phone) or 617-268-1991 (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 1295798114 directly on the NPPES registry website.