Doctor Name: | MS. VELEA RENEE KELLEY |
NPI Number: | 1982850103 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 14825 |
Business Practice Address: | 225 Town Square Dr Box 1550 Lusby, MD - 206576534 |
Business Phone Number: | 4102310488 |
Business Fax Number: | 4104496171 |
Mailing Address: | Po Box 152, DOWELL |
State: | MD |
Postal Code: | 206290152 |
Phone Number: | 4102310488 |
Fax Number: | 4104496171 |
NPI Enumeration Date: | 08/08/2008 |
NPI Last Update Date: | 10/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 14825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |