Ian M Kelleher, LICSW
Social Worker, Clinical in Woburn, Massachusetts
1548550346- Practice location
- 12 Alfred St, Suite 200, Woburn, MA 01801-1972
- Phone
- 781-646-0500
- Fax
- —
- Last updated
- August 31, 2011
Ian M Kelleher is a Social Worker, Clinical based in Woburn, MA. Ian M Kelleher practices in Woburn, MA and has the professional credentials of LICSW. The NPI Number for Ian M Kelleher is 1548550346 and holds a License No. 116051 (MA). The current practice location address for Ian M Kelleher is 12 Alfred St, Suite 200, Woburn, MA 01801-1972 and can be reached out via phone at 781-646-0500.
Provider Profile Details
- NPI Number
- 1548550346
- Provider Name
- Ian M Kelleher
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 12 Alfred St, Suite 200, Woburn, MA 01801-1972
- Phone Number
- 781-646-0500
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 13, 2011
- Last Update Date
- August 31, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Alfred St
Suite 200
Woburn, MA 01801-1972 - City
- Woburn
- State
- Massachusetts
- Zip
- 01801-1972
- Phone Number
- 781-646-0500
Provider Business Mailing Address Details
- Address
- 12 Alfred St
Suite 200
Woburn, MA 01801-1972 - City
- Woburn
- State
- MA
- Zip
- 01801-1972
- Phone Number
- 781-646-0500
License Information
- License Number
- 116051
- License State
- MA
- 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. | |||
Other Social Worker, Clinical providers near Woburn, MA
View all Social Worker, Clinical providers in Woburn →- Abbigail Chickering, MASocial Worker, Clinical · NPI 1447373519
- Alison BryerSocial Worker, Clinical · NPI 1356539886
- Alison Carr, LICSWSocial Worker, Clinical · NPI 1558710509
- Allison BlackSocial Worker, Clinical · NPI 1669252839
- Allison R Fortunata, LICSWSocial Worker, Clinical · NPI 1366115982
- Amy Colozzo, LICSWSocial Worker, Clinical · NPI 1790077535
Frequently Asked Questions
What is the NPI number of Ian M Kelleher, LICSW?
The NPI number of Ian M Kelleher, LICSW is 1548550346. It was assigned on April 13, 2011 and is currently active in the NPPES registry.
What is the specialty of Ian M Kelleher, LICSW?
Ian M Kelleher, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 116051.
Where does Ian M Kelleher, LICSW practice?
The practice location is 12 Alfred St, Suite 200, Woburn, MA 01801-1972. The office can be reached at 781-646-0500 (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 1548550346 directly on the NPPES registry website.