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Provider Information for 1427564525


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ANNA LEHEW KELLEY MSW, LICSW


Sex: Female

NPI: 1427564525
Last Updated: 2024-06-07
Certification Date: 2024-06-07

Details

NameValue
NPI1427564525
Enumeration Date2017-12-27
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 1595
COLUMBUS, OH 43216-1595
United States

Phone: 937-869-1053 | Fax:304-405-2484
 
Primary Practice Address 11 GRAHAM DR
ATHENS, OH 45701-1430
United States

Phone: 800-321-8293 | Fax:304-232-1852
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalWVDP00944454
Yes 104100000X - Social Worker