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NPI Code Detail

MEDICARE: KELSEY DANIELLE HENDON LCSW

MEDICARE: KELSEY DANIELLE HENDON LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker229551MA

General Provider Information

NPI Number : 1467330118
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY DANIELLE HENDON LCSW
Provider Business Mailing Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 857-220-7511
Fax Number :
Provider Business Practice Location Address
First Line : 82 WENDELL AVE STE 100
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-7066
Country : US
Telephone Number : 857-220-7511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2025
Last Update Date : 02/18/2026

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