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Individual

KELSEY JANE MORELL MASSIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, MSW

Contact information

Practice address
2355 MN-36, #200, ST. PAUL, MN 55113
(914) 393-3578
Mailing address
PO BOX 14, LONG LAKE, MN 55356-0014
(914) 393-3578

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0009921466
CO
1041C0700X
Clinical Social Worker
098372
NY
1041C0700X
Clinical Social Worker
27173
MN
1041S0200X
School Social Worker
Primary
940710
MN
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009921466
DEPARTMENT OF REGULATORY AGENCIES
CO
01
098372
NEW YORK STATE DEPARTMENT OF EDUCATION
NY
01
27173
MINNESOTA BOARD OF SOCIAL WORK
MN
Enumeration date
02/27/2018
Last updated
12/20/2024
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