Active NPIIndividual provider

Dwight Kelly, MSW, LICSW

Social Worker, Clinical in White River Junction, Vermont

NPI Number1366913485
Practice location
215 N Main St, White River Junction, VT 05009-1082
Fax
—
Last updated
August 26, 2024

Dwight Kelly is a Social Worker, Clinical based in White River Junction, VT. Dwight Kelly practices in White River Junction, VT and has the professional credentials of MSW, LICSW. The NPI Number for Dwight Kelly is 1366913485. The current practice location address for Dwight Kelly is 215 N Main St, White River Junction, VT 05009-1082 and can be reached out via phone at 802-295-9363.

Provider Profile Details

NPI Number
1366913485
Provider Name
Dwight Kelly
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Male
Address
215 N Main St, White River Junction, VT 05009-1082
Phone Number
802-295-9363
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2018
Last Update Date
August 26, 2024
Certification Date
August 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 N Main St
White River Junction, VT 05009-1082
State
Vermont
Zip
05009-1082
Phone Number
802-295-9363
White River Junction, VT 05009Get directions →

Provider Business Mailing Address Details

Address
Po Box 85
North Hartland, VT 05052-0085
City
North Hartland
State
VT
Zip
05052-0085
Phone Number
413-931-1776

License Information

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 Dwight Kelly, MSW, LICSW?

The NPI number of Dwight Kelly, MSW, LICSW is 1366913485. It was assigned on December 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Dwight Kelly, MSW, LICSW?

Dwight Kelly, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Dwight Kelly, MSW, LICSW practice?

The practice location is 215 N Main St, White River Junction, VT 05009-1082. The office can be reached at 802-295-9363 (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 1366913485 directly on the NPPES registry website.

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