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Individual
KATHLEEN A. NARDELLA
Active
Individual
KATHLEEN A. NARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
122757
MA
1041C0700X
Clinical Social Worker
Primary
14995
MD
1041C0700X
Clinical Social Worker
LC50079960
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122757
CLINICAL SOCIAL WORK LICENSE
MA
01
—
14995
CLINICAL SOCIAL WORK LICENSE
MD
01
—
LC50079960
CLINICAL SOCIAL WORK LICENSE
DC
Enumeration date
06/12/2013
Last updated
05/04/2021
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