Active NPIIndividual provider

Christian P Kelley, LCSW

Social Worker in Southbridge, Massachusetts

NPI Number1659852291
Practice location
176 Main St, Southbridge, MA 01550-2561
Fax
—
Last updated
August 22, 2018

Christian Patrick Kelley is a Social Worker based in Southbridge, MA. Christian Patrick Kelley practices in Southbridge, MA and has the professional credentials of LCSW. The NPI Number for Christian Patrick Kelley is 1659852291 and holds a License No. 223799 (MA). The current practice location address for Christian Patrick Kelley is 176 Main St, Southbridge, MA 01550-2561 and can be reached out via phone at 508-980-2005.

Provider Profile Details

NPI Number
1659852291
Provider Name
Christian Patrick Kelley
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
176 Main St, Southbridge, MA 01550-2561
Phone Number
508-980-2005
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2018
Last Update Date
August 22, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
176 Main St
Southbridge, MA 01550-2561
Zip
01550-2561
Phone Number
508-980-2005
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
10 Mechanic St Ste 302
Worcester, MA 01608-2419
City
Worcester
State
MA
Zip
01608-2419
Phone Number
508-792-5400
Fax Number
508-831-0074

License Information

License Number
223799
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 Christian P Kelley, LCSW?

The NPI number of Christian P Kelley, LCSW is 1659852291. It was assigned on August 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Christian P Kelley, LCSW?

Christian P Kelley, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 223799.

Where does Christian P Kelley, LCSW practice?

The practice location is 176 Main St, Southbridge, MA 01550-2561. The office can be reached at 508-980-2005 (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 1659852291 directly on the NPPES registry website.

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