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MRS. HEATHER LYNNE KELLAM LCSWC NPI 1124197405


NPI Information

NPI: 1124197405
Provider Name: MRS. HEATHER LYNNE KELLAM, LCSWC
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
2336 GODDARD PARKWAY
SALISBURY, MD
ZIP 21801
Phone: (410) 334-6961
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MRS. Heather Lynne Kellam, LCSWC is a clinical social worker in Salisbury, MD. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MRS. Heather Lynne Kellam, LCSWC NPI is 1124197405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2336 GODDARD PARKWAY
SALISBURY, MD
ZIP 21801
Phone: (410) 334-6961
Fax: (410) 334-6362

The enumeration date for this NPI number is 11/8/2006 and was last updated on 12/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical13217MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1517251OTHERUHC MAMSI GROUP
2259147000OTHERMARYLANDMAGELLAN GROUP
3R968OTHERCAREFIRST FEDERAL GROUP
40035OTHERMARYLANDCAREFIRST BCBS-FED-PIN
5LM49EAOTHERMARYLANDCAREFIRST BCBS GROUP
6609550001MEDICAIDMARYLAND
7522156095OTHERMARYLANDNCPPO
8893100-01OTHERMARYLANDCAREFIRST BCBS PIN
9742LMEDICARE ID-TYPE UNSPECIFIEDMARYLAND
10P727MEDICARE PINMARYLAND
11522156095OTHERMARYLANDAMERICAN PSYCH SYSTEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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