Active NPIIndividual provider

Krystal L Ketler, LCSW, MSW

Social Worker in New Bedford, Massachusetts

NPI Number1619619277
Practice location
874 Purchase St, New Bedford, MA 02740-6232
Fax
508-997-2498
Last updated
April 12, 2022

Krystal Lynn Ketler is a Social Worker based in New Bedford, MA. Krystal Lynn Ketler practices in New Bedford, MA and has the professional credentials of LCSW, MSW. The NPI Number for Krystal Lynn Ketler is 1619619277 and holds a License No. 227694 (MA). The current practice location address for Krystal Lynn Ketler is 874 Purchase St, New Bedford, MA 02740-6232 and can be reached out via phone at 508-992-6553 and via fax at 508-997-2498.

Provider Profile Details

NPI Number
1619619277
Provider Name
Krystal Lynn Ketler
Credential
LCSW, MSW
Provider Entity Type
Individual
Gender
Female
Address
874 Purchase St, New Bedford, MA 02740-6232
Phone Number
508-992-6553
Fax Number
508-997-2498
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2022
Last Update Date
April 12, 2022
Certification Date
April 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
874 Purchase St
New Bedford, MA 02740-6232
Zip
02740-6232
Phone Number
508-992-6553
Fax Number
508-997-2498
New Bedford, MA 02740Get directions →

Provider Business Mailing Address Details

Address
874 Purchase St
New Bedford, MA 02740-6232
City
New Bedford
State
MA
Zip
02740-6232
Phone Number
508-984-8401
Fax Number
508-984-8420

License Information

License Number
227694
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Krystal L Ketler, LCSW, MSW?

The NPI number of Krystal L Ketler, LCSW, MSW is 1619619277. It was assigned on April 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Krystal L Ketler, LCSW, MSW?

Krystal L Ketler, LCSW, MSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 227694.

Where does Krystal L Ketler, LCSW, MSW practice?

The practice location is 874 Purchase St, New Bedford, MA 02740-6232. The office can be reached at 508-992-6553 (phone) or 508-997-2498 (fax).

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 1619619277 directly on the NPPES registry website.

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