Kelly Ann Boettcher, LCSW
Individual provider Active NPI Clinical Social Worker · Hatboro, PA
NPI 1073398293 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1073398293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 2355 Karen LN
Hatboro, PA 19040-2911 - Phone
- (267) 975-8742
- NPI assigned
- Aug 28, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
2355 Karen LN
Hatboro, PA 19040-2911
Mailing address
2355 Karen LN
Hatboro, PA 19040-2911
Phone (267) 975-8742
Other providers in Hatboro, PA
- Wendy Michelle Beratan
- Michele Robin Berman
- John Zayas Berrios Jr.
- Dorota Maria Biel
- Edward Blumenthal
- Amanda Clifford Bogle
- John F Bolger
- Linda Brennan Borenstein
- Dilyara Bortnik
- Daniel Joseph Breuer
All providers in Hatboro, PA · Clinical Social Worker in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.