Kellie Dahlstrom, LICSW
Social Worker, Clinical in Worcester, Massachusetts
1972960888- Practice location
- 50 Elm St, #3b, Worcester, MA 01609-2574
- Phone
- 508-755-0436
- Fax
- —
- Last updated
- April 18, 2022
Kellie Dahlstrom is a Social Worker, Clinical based in Worcester, MA. Kellie Dahlstrom practices in Worcester, MA and has the professional credentials of LICSW. The NPI Number for Kellie Dahlstrom is 1972960888 and holds a License No. 118781 (MA). The current practice location address for Kellie Dahlstrom is 50 Elm St, #3b, Worcester, MA 01609-2574 and can be reached out via phone at 508-755-0436.
Provider Profile Details
- NPI Number
- 1972960888
- Provider Name
- Kellie Dahlstrom
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 50 Elm St, #3b, Worcester, MA 01609-2574
- Phone Number
- 508-755-0436
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 22, 2016
- Last Update Date
- April 18, 2022
- Certification Date
- April 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Elm St
#3b
Worcester, MA 01609-2574 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609-2574
- Phone Number
- 508-755-0436
Provider Business Mailing Address Details
- Address
- 19 Mcintyre RD
Charlton, MA 01507-5125 - City
- Charlton
- State
- MA
- Zip
- 01507-5125
- Phone Number
- 774-200-6371
License Information
- License Number
- 118781
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Worcester, MA
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- Aubrey L Anderson, LCSWSocial Worker, Clinical · NPI 1437839446
- Bernice AnkomahSocial Worker, Clinical · NPI 1598248619
- Chante C ColeySocial Worker, Clinical · NPI 1558752782
- Elissa Bargas, LICSWSocial Worker, Clinical · NPI 1396041158
Frequently Asked Questions
What is the NPI number of Kellie Dahlstrom, LICSW?
The NPI number of Kellie Dahlstrom, LICSW is 1972960888. It was assigned on January 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Kellie Dahlstrom, LICSW?
Kellie Dahlstrom, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 118781.
Where does Kellie Dahlstrom, LICSW practice?
The practice location is 50 Elm St, #3b, Worcester, MA 01609-2574. The office can be reached at 508-755-0436 (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 1972960888 directly on the NPPES registry website.