Individual provider Active NPI

Marcella Curran Kelleher, B.A.

  • Case Manager/Care Coordinator
  • Worcester, MA
National Provider Identifier
1396919528
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
S83033045 Issued in MA
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

Updated by the provider on Apr 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
171M00000XOtherMACASE 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

LicenseStateTypeSpecialty
S83033045MAMDCase 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.

Verify at the official NPI Registry.