MS. SUSAN KELLY LADC CAC NPI 1043484702

NPI Information

NPI: 1043484702
Provider Name: MS. SUSAN KELLY, LADC, CAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1890 DIXWELL AVE
HAMDEN, CT
ZIP 06514
Phone: (860) 223-9291
Get Directions

MS. Susan Kelly, LADC, CAC is an addiction (substance use disorder) counselor in Hamden, CT. MS. Susan Kelly, LADC, CAC NPI is 1043484702. 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:

1890 DIXWELL AVE
HAMDEN, CT
ZIP 06514-122
Phone: (860) 223-9291
Fax: (860) 223-3111

The enumeration date for this NPI number is 4/14/2008 and was last updated on 4/14/2008.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000634	CONNECTICUT	Yes

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
1	3734	OTHER	CONNECTICUT	CAC
2	000634	OTHER	CONNECTICUT	LADC

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: 4/28/2024

NPI Synchronization or Removal

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