| Mirarchi & Kelly Lcsw Pa | |
|
704 Linwood Ave Bel Air MD 21014-4447 | |
| (410) 322-8535 | |
| Not Available |
| Full Name | Mirarchi & Kelly Lcsw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 704 Linwood Ave, Bel Air, Maryland |
| Authorized Official Name and Position | Kathleen Ruth Kelly (PRESIDENT) |
| Authorized Official Contact | 4103228535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirarchi & Kelly Lcsw Pa 704 Linwood Ave Bel Air MD 21014-4447 Ph: (410) 322-8535 | Mirarchi & Kelly Lcsw Pa 704 Linwood Ave Bel Air MD 21014-4447 Ph: (410) 322-8535 |
| NPI Number | 1750417267 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Medicare PECOS PAC ID | 5890843577 |
|---|---|
| Medicare Enrollment ID | O20090507000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750417267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathleen R Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164559068 PECOS PAC ID: 3173797628 Enrollment ID: I20111117000543 |
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