Santiago, Kelly
Santiago, Kelly is an individual health care provider with primary practice located at 400 Faunce Corner Rd , North Dartmouth MA 02747-1275. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Santiago, Kelly can be contacted via phone (508) 995-6400.Contact Information
Primary practice address
400 Faunce Corner Rd
North Dartmouth MA 02747-1275
Phone: (508) 995-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 222469 | Massachusetts |
Profile Details
| NPI number | 1407315807 |
|---|---|
| LBN Legal business name | Santiago, Kelly |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2019 |
| Last updated | Mar 15th, 2019 - about 6 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 | 1407315807 | NPPES |
| Massachusetts | Other | 222469 | LCSW |
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