Kennelly, Amy Lisa

Kennelly, Amy Lisa is an individual health care provider with primary practice located at 64 Robbins St Crisis Intervention, Waterbury CT 06708-2613. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kennelly, Amy Lisa can be contacted via phone (203) 573-6500.

Contact Information

Primary practice address
64 Robbins St Crisis Intervention Waterbury CT 06708-2613
Phone: (203) 573-6500
Fax: (203) 573-7007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003956 Connecticut

Profile Details

NPI number 1659354751
LBN Legal business name Kennelly, Amy Lisa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 8th, 2007 - about 17 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.

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