Active NPIIndividual provider

Kelley J Grover, LCSW

Social Worker, Clinical in Etna, Maine

NPI Number1669531828
Practice location
540 Old County RD, Etna, ME 04434-3818
Fax
—
Last updated
January 9, 2020

Kelley Jean Grover is a Social Worker, Clinical based in Etna, ME. Kelley Jean Grover practices in Etna, ME and has the professional credentials of LCSW. The NPI Number for Kelley Jean Grover is 1669531828 and holds a License No. LC11550 (ME). The current practice location address for Kelley Jean Grover is 540 Old County RD, Etna, ME 04434-3818 and can be reached out via phone at 207-577-1646.

Provider Profile Details

NPI Number
1669531828
Provider Name
Kelley Jean Grover
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
540 Old County RD, Etna, ME 04434-3818
Phone Number
207-577-1646
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Kelley Jean Landry, LCSW (Former Name)
Provider Enumeration Date
December 6, 2006
Last Update Date
January 9, 2020
Certification Date
January 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
540 Old County RD
Etna, ME 04434-3818
City
Etna
State
Maine
Zip
04434-3818
Phone Number
207-577-1646
Etna, ME 04434Get directions →

Provider Business Mailing Address Details

Address
223 S Livermore RD
Turner, ME 04282-3102
City
Turner
State
ME
Zip
04282-3102
Phone Number
207-577-1646

License Information

License Number
LC11550
License State
ME
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 Kelley J Grover, LCSW?

The NPI number of Kelley J Grover, LCSW is 1669531828. It was assigned on December 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Kelley J Grover, LCSW?

Kelley J Grover, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC11550.

Where does Kelley J Grover, LCSW practice?

The practice location is 540 Old County RD, Etna, ME 04434-3818. The office can be reached at 207-577-1646 (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 1669531828 directly on the NPPES registry website.

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