Active NPIIndividual provider

Ginny L Kelly, LICSW

Social Worker, Clinical in Lakeville, Massachusetts

NPI Number1619980992
Practice location
104 Charles Eldridge Dr, Lakeville, MA 02347
Fax
508-947-1684
Last updated
July 8, 2007

Ginny Lynn Kelly is a Social Worker, Clinical based in Lakeville, MA. Ginny Lynn Kelly practices in Lakeville, MA and has the professional credentials of LICSW. The NPI Number for Ginny Lynn Kelly is 1619980992 and holds a License No. 1028860 (MA). The current practice location address for Ginny Lynn Kelly is 104 Charles Eldridge Dr, Lakeville, MA 02347 and can be reached out via phone at 508-947-1683 and via fax at 508-947-1684.

Provider Profile Details

NPI Number
1619980992
Provider Name
Ginny Lynn Kelly
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
104 Charles Eldridge Dr, Lakeville, MA 02347
Phone Number
508-947-1683
Fax Number
508-947-1684
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Charles Eldridge Dr
Lakeville, MA 02347
Zip
02347
Phone Number
508-947-1683
Fax Number
508-947-1684
Lakeville, MA 02347Get directions →

Provider Business Mailing Address Details

Address
104 Charles Eldridge Dr
Lakeville, MA 02347
City
Lakeville
State
MA
Zip
02347
Phone Number
508-947-1683
Fax Number
508-947-1684

License Information

License Number
1028860
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 Ginny L Kelly, LICSW?

The NPI number of Ginny L Kelly, LICSW is 1619980992. It was assigned on August 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Ginny L Kelly, LICSW?

Ginny L Kelly, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1028860.

Where does Ginny L Kelly, LICSW practice?

The practice location is 104 Charles Eldridge Dr, Lakeville, MA 02347. The office can be reached at 508-947-1683 (phone) or 508-947-1684 (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 1619980992 directly on the NPPES registry website.

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