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Provider Information for 1255654273


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MARGARET C KAELIN LCSW


Sex: Female

NPI: 1255654273
Last Updated: 2025-02-28
Certification Date: 2025-02-28

Details

NameValue
NPI1255654273
Enumeration Date2010-03-04
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3622 THREE FORKS RD
BELTON, TX 76513-7788
United States

Phone: 502-468-7626 | Fax:
 
Primary Practice Address 3622 THREE FORKS RD
BELTON, TX 76513-7788
United States

Phone: 502-468-7626 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)KY000000652654Anthem
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalTX64695
Yes 1041C0700X - Social Worker - ClinicalKY3367