Mrs. Kallie J Provencher, LCSW
Social Worker, Clinical in Milford, New Hampshire
1447035407- Practice location
- 32 Timber Ridge Dr, Milford, NH 03055-3331
- Phone
- 860-575-9009
- Fax
- —
- Last updated
- March 28, 2024
Kallie Jean Provencher is a Social Worker, Clinical based in Milford, NH. Kallie Jean Provencher practices in Milford, NH and has the professional credentials of LCSW. The NPI Number for Kallie Jean Provencher is 1447035407 and holds a License No. 3065 (NH). The current practice location address for Kallie Jean Provencher is 32 Timber Ridge Dr, Milford, NH 03055-3331 and can be reached out via phone at 860-575-9009.
Provider Profile Details
- NPI Number
- 1447035407
- Provider Name
- Kallie Jean Provencher
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 32 Timber Ridge Dr, Milford, NH 03055-3331
- Phone Number
- 860-575-9009
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 29, 2023
- Last Update Date
- March 28, 2024
- Certification Date
- March 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 Timber Ridge Dr
Milford, NH 03055-3331 - City
- Milford
- State
- New Hampshire
- Zip
- 03055-3331
- Phone Number
- 860-575-9009
Provider Business Mailing Address Details
- Address
- 32 Timber Ridge Dr
Milford, NH 03055-3331 - City
- Milford
- State
- NH
- Zip
- 03055-3331
- Phone Number
- 860-575-9009
License Information
- License Number
- 3065
- License State
- NH
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Kallie J Provencher, LCSW?
The NPI number of Mrs. Kallie J Provencher, LCSW is 1447035407. It was assigned on August 29, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kallie J Provencher, LCSW?
Mrs. Kallie J Provencher, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NH under license number 3065.
Where does Mrs. Kallie J Provencher, LCSW practice?
The practice location is 32 Timber Ridge Dr, Milford, NH 03055-3331. The office can be reached at 860-575-9009 (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 1447035407 directly on the NPPES registry website.