Whooley, Kathleen C
Whooley, Kathleen C is an sole proprietor health care provider with primary practice located at 110 W Squantum St Suite 21, North Quincy MA 02171-2122. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Whooley, Kathleen C can be contacted via phone (617) 786-7467.Contact Information
Primary practice address
110 W Squantum St Suite 21
North Quincy MA 02171-2122
Phone: (617) 786-7467
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1020934 | Massachusetts |
Profile Details
| NPI number | 1528194966 |
|---|---|
| LBN Legal business name | Whooley, Kathleen C |
| Credentials | L.I.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528194966 | NPPES |
| Massachusetts | MEDICAID | 1854241 | |
| Massachusetts | Other | P08435 |
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