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NPI Code Detail

MEDICARE: KELLY VESHIA LCSW

MEDICARE: KELLY VESHIA 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 Worker102421NY

General Provider Information

NPI Number : 1629732599
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY VESHIA LCSW
Provider Business Mailing Address
First Line : 920 LARK DR
Second Line :
City : ALBANY
State : NY
Zip : 12207-1300
Country : US
Telephone Number : 518-465-4771
Fax Number :
Provider Business Practice Location Address
First Line : 920 LARK DR
Second Line :
City : ALBANY
State : NY
Zip : 12207-1300
Country : US
Telephone Number : 518-465-4771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2021
Last Update Date : 04/23/2026

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