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NPI Code Detail

MEDICARE: MS. JENNIFER ANN KELL LCSW

MEDICARE: MS. JENNIFER ANN KELL 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 Worker0904004489VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497869598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER ANN KELL LCSW
Provider Business Mailing Address
First Line : PO BOX 4504
Second Line :
City : MIDLOTHIAN
State : VA
Zip : 23112-0010
Country : US
Telephone Number : 804-317-5710
Fax Number : 804-763-3453
Provider Business Practice Location Address
First Line : 9513 HULL STREET RD STE A
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23236-1495
Country : US
Telephone Number : 804-608-9389
Fax Number : 804-763-3453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 01/05/2023

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