Active NPI
Marcella Curran Kelleher, B.A.
- Case Manager/Care Coordinator
- Worcester, MA
National Provider Identifier
1396919528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- S83033045
- Practice address
- 237 Millbury St
Worcester, MA 01610-2177 - Phone
- (508) 755-1228
- Fax
- (508) 797-3477
- NPI assigned
- Apr 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | S83033045 | MA | Primary |
Addresses
Primary practice location
237 Millbury St
Worcester, MA 01610-2177
Mailing address
237 Millbury St
Worcester, MA 01610-2177
Phone (508) 755-1228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Other | MA | CASE MANAGER/CARE COORDIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S83033045 | MA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1396919528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 MILLBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102177",
"telephone_number": "508-755-1228",
"fax_number": "508-797-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 MILLBURY ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102177",
"telephone_number": "508-755-1228",
"fax_number": "508-797-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEHER",
"first_name": "MARCELLA",
"middle_name": "CURRAN",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MA",
"license": "S83033045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CASE MANAGER/CARE COORDIN",
"identifier": "171M00000X",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.