Carol A Kelley, is a
Social Worker - Clinical based in Mount Jackson, Virginia. Carol A Kelley is licensed to practice in Virginia (license number 0904010346) and her current practice location is
5969 Broad St, Mount Jackson, Virginia. She can be reached at her office (for appointments etc.) via phone at
(802) 236-5945.
NPI number for Carol A Kelley is 1508500505 and her current mailing address is 5969 Broad St, Mount Jackson, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508500505.
Healthcare Provider's Profile
Full Name | Carol A Kelley |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5969 Broad St, Mount Jackson, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508500505
- Provider Enumeration Date: 04/25/2022
- Last Update Date: 04/25/2022
Medical Identifiers
Medical identifiers for Carol A Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508500505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904010346 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol A Kelley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carol A Kelley, 5969 Broad St, Mount Jackson, VA 22842-9302 Ph: (802) 236-5945 | Carol A Kelley, 5969 Broad St, Mount Jackson, VA 22842-9302 Ph: (802) 236-5945 |
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