Kelley, Caterina
Kelley, Caterina is an individual health care provider with primary practice located at 30 Peck Rd Ste 2203 Torrington Clinical Services, Torrington CT 06790-6123. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kelley, Caterina can be contacted via phone (860) 626-7007.Contact Information
Primary practice address
30 Peck Rd Ste 2203 Torrington Clinical Services
Torrington CT 06790-6123
Phone: (860) 626-7007
Fax: (860) 626-7014
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000864 | Connecticut |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1419 | Connecticut |
Profile Details
NPI number | 1225263130 |
---|---|
LBN Legal business name | Kelley, Caterina |
Credentials | LADC,LMSW, MSW,BA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2009 |
Last updated | Aug 20th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225263130 | NPPES |
Connecticut | MEDICAID | 008037438 | |
Connecticut | Other | 12715953 |
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