Active NPIIndividual providerSole proprietor

Ms. Keely Petri, LICSW

Social Worker, Clinical in Belmont, Massachusetts

NPI Number1972760643
Practice location
115 Mill St, Belmont, MA 02478-1064
Fax
—
Last updated
May 20, 2008

Keely Petri is a Social Worker, Clinical based in Belmont, MA. Keely Petri practices in Belmont, MA and has the professional credentials of LICSW. The NPI Number for Keely Petri is 1972760643 and holds a License No. 113838 (MA). The current practice location address for Keely Petri is 115 Mill St, Belmont, MA 02478-1064 and can be reached out via phone at 617-855-2000.

Provider Profile Details

NPI Number
1972760643
Provider Name
Keely Petri
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
115 Mill St, Belmont, MA 02478-1064
Phone Number
617-855-2000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2008
Last Update Date
May 20, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Mill St
Belmont, MA 02478-1064
Zip
02478-1064
Phone Number
617-855-2000
Belmont, MA 02478Get directions →

Provider Business Mailing Address Details

Address
15A Nichols St
Woburn, MA 01801-1525
City
Woburn
State
MA
Zip
01801-1525
Phone Number
781-266-7335

License Information

License Number
113838
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 Ms. Keely Petri, LICSW?

The NPI number of Ms. Keely Petri, LICSW is 1972760643. It was assigned on May 20, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Keely Petri, LICSW?

Ms. Keely Petri, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113838.

Where does Ms. Keely Petri, LICSW practice?

The practice location is 115 Mill St, Belmont, MA 02478-1064. The office can be reached at 617-855-2000 (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 1972760643 directly on the NPPES registry website.

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