Individual provider · NPI-1
Kelly Jeanne Carbello, MSW
Case Manager/Care Coordinator · Glendale, AZ
NPI number1891536108
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1891536108
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kelly Jeanne Carbello
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 3, 2024
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 104100000X | Social Worker | – | – |
Other names
- Kelly Hesler (Former Name)
Practice location
6302 W Onyx AveGlendale, AZ 85302-1134
Phone 602-577-0832
Mailing address
6302 W Onyx AveGlendale, AZ 85302-1134
Phone 602-577-0832
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