Thorp Wolcott, Kelley M
Thorp Wolcott, Kelley M is an individual health care provider with primary practice located at 1231 Green St , Utica NY 13502-3946. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Thorp Wolcott, Kelley M can be contacted via phone (315) 797-0472.Contact Information
Primary practice address
1231 Green St
Utica NY 13502-3946
Phone: (315) 797-0472
Fax: (315) 797-6066
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R058963-1 | New York |
Profile Details
NPI number | 1013907872 |
---|---|
LBN Legal business name | Thorp Wolcott, Kelley M |
Credentials | LCSWR |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 24th, 2005 |
Last updated | Jul 9th, 2007 - about 18 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 | 1013907872 | NPPES |
New York | MEDICAID | 02456733 | |
New York | Other | 209825 | |
New York | Other | 7568623 | |
New York | Other | 476596 | |
New York | Other | 361914 |
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