| Ms Judith M Kelley, MSW, LICSW, LADC1 | |
|
15 Davedon Dr, East Falmouth, MA 02536-5046 | |
| (508) 457-4955 | |
| (508) 457-4955 |
| Full Name | Ms Judith M Kelley |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 15 Davedon Dr, East Falmouth, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740337898 | NPI | - | NPPES |
| 111003 | Other | MA | LICSW |
| 1106 | Other | MA | LADC 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 111003 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gosnold, Inc. | 5991776627 | 18 |
| Entity Name | Gosnold, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639219314 PECOS PAC ID: 5991776627 Enrollment ID: O20040804001622 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Judith M Kelley, MSW, LICSW, LADC1 P.o. Box 302, Falmouth, MA 02541-0302 Ph: (508) 457-4955 | Ms Judith M Kelley, MSW, LICSW, LADC1 15 Davedon Dr, East Falmouth, MA 02536-5046 Ph: (508) 457-4955 |
Mr. Mark A Abbott, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 23 Rebecca Ann Ln, East Falmouth, MA 02536 Phone: 508-314-7546 | |
Suzanne Hauptmann, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 93 Squibnocket Dr, East Falmouth, MA 02536 Phone: 508-274-7986 | |
Nancy Axon Kerrigan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12 Quashnet Way, East Falmouth, MA 02536 Phone: 508-548-5382 | |
Melissa Anne Plourde, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 480 Carriage Shop Rd, East Falmouth, MA 02536 Phone: 508-878-3959 |