Individual
MS. ELLEN A KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00547
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030280
NEIGHBORHOOD HEALTH PLAN
RI
01
—
11567396
CAQH
—
01
—
3466240002
MAGELLAN BEHAVIORAL HEALT
MA
01
—
7363245
AETNA
—
01
—
93767
BCBS
RI
Enumeration date
01/09/2007
Last updated
07/08/2007
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