Mrs. Kerry L Ketchale, LCSW
Social Worker, Clinical in Ellington, Connecticut
1518270446- Practice location
- 420 Somers RD, Ellington, CT 06029-2629
- Phone
- 860-255-4475
- Fax
- —
- Last updated
- June 22, 2024
Kerry Lynn Ketchale is a Social Worker, Clinical based in Ellington, CT. Kerry Lynn Ketchale practices in Ellington, CT and has the professional credentials of LCSW. The NPI Number for Kerry Lynn Ketchale is 1518270446 and holds a License No. 005794 (CT). The current practice location address for Kerry Lynn Ketchale is 420 Somers RD, Ellington, CT 06029-2629 and can be reached out via phone at 860-255-4475.
Provider Profile Details
- NPI Number
- 1518270446
- Provider Name
- Kerry Lynn Ketchale
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 420 Somers RD, Ellington, CT 06029-2629
- Phone Number
- 860-255-4475
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Mrs. Kerry Lynn Tuttle (Former Name)
- Provider Enumeration Date
- July 20, 2010
- Last Update Date
- June 22, 2024
- Certification Date
- June 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Somers RD
Ellington, CT 06029-2629 - City
- Ellington
- State
- Connecticut
- Zip
- 06029-2629
- Phone Number
- 860-255-4475
Provider Business Mailing Address Details
- Address
- 420 Somers RD
Ellington, CT 06029-2629 - City
- Ellington
- State
- CT
- Zip
- 06029-2629
- Phone Number
- 860-255-4475
License Information
- License Number
- 005794
- License State
- CT
- 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. Kerry L Ketchale, LCSW?
The NPI number of Mrs. Kerry L Ketchale, LCSW is 1518270446. It was assigned on July 20, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Kerry L Ketchale, LCSW?
Mrs. Kerry L Ketchale, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 005794.
Where does Mrs. Kerry L Ketchale, LCSW practice?
The practice location is 420 Somers RD, Ellington, CT 06029-2629. The office can be reached at 860-255-4475 (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 1518270446 directly on the NPPES registry website.