Active NPIIndividual provider

Kelly Fanty

Social Worker, Clinical in Burlington, Massachusetts

NPI Number1528527033
Practice location
41 Mall RD, Burlington, MA 01805-8480
Fax
—
Last updated
March 13, 2024

Kelly Fanty is a Social Worker, Clinical based in Burlington, MA. Kelly Fanty practices in Burlington, MA. The NPI Number for Kelly Fanty is 1528527033 and holds a License No. 122000 (MA). The current practice location address for Kelly Fanty is 41 Mall RD, Burlington, MA 01805-8480 and can be reached out via phone at 781-744-8000.

Provider Profile Details

NPI Number
1528527033
Provider Name
Kelly Fanty
Provider Entity Type
Individual
Gender
Female
Address
41 Mall RD, Burlington, MA 01805-8480
Phone Number
781-744-8000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 14, 2019
Last Update Date
March 13, 2024
Certification Date
March 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Mall RD
Burlington, MA 01805-8480
Zip
01805-8480
Phone Number
781-744-8000
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
355 Waverley Oaks RD Ste 100
Waltham, MA 02452-8480
City
Waltham
State
MA
Zip
02452-8480
Phone Number
508-785-5786

License Information

License Number
122000
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 Kelly Fanty?

The NPI number of Kelly Fanty is 1528527033. It was assigned on March 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelly Fanty?

Kelly Fanty is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122000.

Where does Kelly Fanty practice?

The practice location is 41 Mall RD, Burlington, MA 01805-8480. The office can be reached at 781-744-8000 (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 1528527033 directly on the NPPES registry website.

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