Active NPIIndividual providerSole proprietor

Mr. Charles L Kelly, MSW, LICSW

Social Worker, Clinical in Plymouth, Massachusetts

NPI Number1518025683
Practice location
40 Industrial Park RD, Department Of Mental Health, Plymouth, MA 02360-4884
Fax
—
Last updated
July 8, 2007

Charles L Kelly is a Social Worker, Clinical based in Plymouth, MA. Charles L Kelly practices in Plymouth, MA and has the professional credentials of MSW, LICSW. The NPI Number for Charles L Kelly is 1518025683 and holds a License No. 103859 (MA). The current practice location address for Charles L Kelly is 40 Industrial Park RD, Department Of Mental Health, Plymouth, MA 02360-4884 and can be reached out via phone at 508-732-3011.

Provider Profile Details

NPI Number
1518025683
Provider Name
Charles L Kelly
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Male
Address
40 Industrial Park RD, Department Of Mental Health, Plymouth, MA 02360-4884
Phone Number
508-732-3011
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Industrial Park RD
Department Of Mental Health
Plymouth, MA 02360-4884
Zip
02360-4884
Phone Number
508-732-3011
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
Po Box 396
Brant Rock, MA 02020-0396
City
Brant Rock
State
MA
Zip
02020-0396
Phone Number
781-837-9312

License Information

License Number
103859
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 Mr. Charles L Kelly, MSW, LICSW?

The NPI number of Mr. Charles L Kelly, MSW, LICSW is 1518025683. It was assigned on December 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Charles L Kelly, MSW, LICSW?

Mr. Charles L Kelly, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 103859.

Where does Mr. Charles L Kelly, MSW, LICSW practice?

The practice location is 40 Industrial Park RD, Department Of Mental Health, Plymouth, MA 02360-4884. The office can be reached at 508-732-3011 (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 1518025683 directly on the NPPES registry website.

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