Individual
KELSEY MCCREIGHT
Active
Individual
KELSEY MCCREIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW132163
PA
1041C0700X
Clinical Social Worker
Primary
CW019860
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103743058
—
PA
01
—
13642570
CAQH
—
01
—
CW019860
STATE LICENSE
PA
Enumeration date
03/13/2015
Last updated
09/28/2022
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