Active NPIIndividual providerSole proprietor

Kelly J Scanlon, LICSW

Social Worker, Clinical in Belmont, Massachusetts

NPI Number1740738152
Practice location
115 Mill St, Belmont, MA 02478-1064
Fax
617-855-3776
Last updated
August 23, 2017

Kelly Jacobson Scanlon is a Social Worker, Clinical based in Belmont, MA. Kelly Jacobson Scanlon practices in Belmont, MA and has the professional credentials of LICSW. The NPI Number for Kelly Jacobson Scanlon is 1740738152 and holds a License No. 118637 (MA). The current practice location address for Kelly Jacobson Scanlon is 115 Mill St, Belmont, MA 02478-1064 and can be reached out via phone at 617-855-3188 and via fax at 617-855-3776.

Provider Profile Details

NPI Number
1740738152
Provider Name
Kelly Jacobson Scanlon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
115 Mill St, Belmont, MA 02478-1064
Phone Number
617-855-3188
Fax Number
617-855-3776
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Kelly Patricia Jacobson, LICSW (Former Name)
Provider Enumeration Date
September 14, 2016
Last Update Date
August 23, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1064
Zip
02478-1064
Phone Number
617-855-3188
Fax Number
617-855-3776
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
115 Mill St
Belmont, MA 02478-1064
City
Belmont
State
MA
Zip
02478-1064
Phone Number
617-855-3188
Fax Number
617-855-3776

License Information

License Number
118637
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 Kelly J Scanlon, LICSW?

The NPI number of Kelly J Scanlon, LICSW is 1740738152. It was assigned on September 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelly J Scanlon, LICSW?

Kelly J Scanlon, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 118637.

Where does Kelly J Scanlon, LICSW practice?

The practice location is 115 Mill St, Belmont, MA 02478-1064. The office can be reached at 617-855-3188 (phone) or 617-855-3776 (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 1740738152 directly on the NPPES registry website.

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