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
Fax: (315) 797-6066
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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