Luretha Kelly, LCSW is a
Counselor - Mental Health based in Clinton, Mississippi. Luretha Kelly is licensed to practice in Mississippi (license number C6936) and her current practice location is
114 Stone Cv, Clinton, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 572-4268.
NPI number for Luretha Kelly is 1609173533 and her current mailing address is 114 Stone Cv, Clinton, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609173533.
Healthcare Provider's Profile
| Full Name | Luretha Kelly |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 114 Stone Cv, Clinton, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609173533
- Provider Enumeration Date: 02/11/2011
- Last Update Date: 08/23/2024
Medical Identifiers
Medical identifiers for Luretha Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609173533 | NPI | - | NPPES |
| 08434862 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | C6936 (Mississippi) | Secondary |
| 101YM0800X | Counselor - Mental Health | C6936 (Mississippi) | Primary |
| 104100000X | Social Worker | M6936 (Mississippi) | Secondary |
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. Luretha Kelly 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 |
|---|
Luretha Kelly, LCSW
114 Stone Cv,
Clinton, MS 39056-5020
Ph: (601) 572-4268 | Luretha Kelly, LCSW
114 Stone Cv,
Clinton, MS 39056-5020
Ph: (601) 572-4268 |
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