Kelly Luce Acevedo
Individual provider Active NPI Social Worker · Peachtree City, GA
NPI 1588080600 · NPPES record last updated Mar 13, 2014
Key facts
- NPI
- 1588080600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- MSW005370 (GA)
- Practice address
- 111 Petrol PT
Suite H
Peachtree City, GA 30269-1550 - Phone
- (470) 296-1841
- NPI assigned
- Mar 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW005370 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Luce Acevedo | Social Worker | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW005370 | GA | Yes |
Addresses
Primary practice location
111 Petrol PT
Suite H
Peachtree City, GA 30269-1550
Mailing address
117 Holly Springs Dr
Peachtree City, GA 30269-3045
Phone (470) 296-1841
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All providers in Peachtree City, GA · Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2014. 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.