Healthcare Provider Details

I. General information

NPI: 1619183456
Provider Name (Legal Business Name): KELLY DEMENEZES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 PLEASANT ST
FALL RIVER MA
02723-1719
US

IV. Provider business mailing address

1402 PLEASANT ST
FALL RIVER MA
02723-1719
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-0962
  • Fax: 508-676-5592
Mailing address:
  • Phone: 508-679-0962
  • Fax: 508-676-5592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: