Susan M Kelly


Address: 175 Wendell Ave, Pittsfield, MA 01201-6927
Phone: 4132818984

Susan M Kelly (NPI# 1043386246, PAC ID# 0244257988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.

Physician Overview

Nation Provider ID (NPI) 1043386246
PAC ID by PECOS 0244257988
Professional Enrollment ID I20051101000459
Full Name Susan M Kelly
Address 175 Wendell Ave
Pittsfield
MA 01201-6927
Phone Number 4132818984
Gender F
Credential CSW
Graduation Year 1999
Primary Specialty CLINICAL SOCIAL WORKER
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
175 Wendell Ave, Pittsfield, MA 01201-6927 4132818984

Organization Information

Office Location

Street Address 175 WENDELL AVE
City PITTSFIELD
State MA
Zip 01201-6927

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Competitor

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City PITTSFIELD
Zip Code 01201
Specialty CLINICAL SOCIAL WORKER
City + Specialty PITTSFIELD + CLINICAL SOCIAL WORKER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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