Active NPIIndividual provider

Kelsey Ott-Sudik

Social Worker, Clinical in Old Lyme, Connecticut

NPI Number1821532904
Practice location
55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
Fax
877-515-7147
Last updated
December 8, 2016

Kelsey Ott-Sudik is a Social Worker, Clinical based in Old Lyme, CT. Kelsey Ott-Sudik practices in Old Lyme, CT. The NPI Number for Kelsey Ott-Sudik is 1821532904 and holds a License No. SW131918 (PA). The current practice location address for Kelsey Ott-Sudik is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534 and can be reached out via phone at 800-370-3651 and via fax at 877-515-7147.

Provider Profile Details

NPI Number
1821532904
Provider Name
Kelsey Ott-Sudik
Provider Entity Type
Individual
Gender
Female
Address
55 Hatchetts Hill RD, Old Lyme, CT 06371-1534
Phone Number
800-370-3651
Fax Number
877-515-7147
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2016
Last Update Date
December 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Hatchetts Hill RD
Old Lyme, CT 06371-1534
Zip
06371-1534
Phone Number
800-370-3651
Fax Number
877-515-7147
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
55 Hatchetts Hill RD
Old Lyme, CT 06371-1534
City
Old Lyme
State
CT
Zip
06371-1534
Phone Number
800-370-3651
Fax Number
877-515-7147

License Information

License Number
SW131918
License State
PA
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 Kelsey Ott-Sudik?

The NPI number of Kelsey Ott-Sudik is 1821532904. It was assigned on December 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Kelsey Ott-Sudik?

Kelsey Ott-Sudik is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in PA under license number SW131918.

Where does Kelsey Ott-Sudik practice?

The practice location is 55 Hatchetts Hill RD, Old Lyme, CT 06371-1534. The office can be reached at 800-370-3651 (phone) or 877-515-7147 (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 1821532904 directly on the NPPES registry website.

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