Kelly P Mucha, LCSW is a
Social Worker - Clinical based in Schererville, Indiana. Kelly P Mucha is licensed to practice in * (Not Available) (license number ) and her current practice location is
1112 Us Highway 41, Schererville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 613-0332.
NPI number for Kelly P Mucha is 1700172830 and her current mailing address is 4524 Whitcomb St, Gary, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700172830.
Healthcare Provider's Profile
| Full Name | Kelly P Mucha |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1112 Us Highway 41, Schererville, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700172830
- Provider Enumeration Date: 06/27/2011
- Last Update Date: 04/23/2016
Medical Identifiers
Medical identifiers for Kelly P Mucha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700172830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | 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. Kelly P Mucha 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 |
|---|
Kelly P Mucha, LCSW
4524 Whitcomb St,
Gary, IN 46408-3506
Ph: (219) 613-0332 | Kelly P Mucha, LCSW
1112 Us Highway 41,
Schererville, IN 46375-1361
Ph: (219) 613-0332 |
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