National Provider Identifier Database

HEATHER L KELLAM, LCSWC – NPI #1124197405
Clinical

A social worker who holds a master?s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master?s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.


Contact Information

HEATHER L KELLAM, LCSWC
2336 GODDARD PARKWAY
SALISBURY, MD21801
Phone: 410-334-6961
Fax: 410-334-6362
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for HEATHER L KELLAM

NPI Number 1124197405
Credentials LCSWC
Entity Individual
Enumeration date 11/08/2006
Last updated 12/14/2011 - About 14 years ago
Sole proprietor1 No
Identifiers
  • MD License #: 13217
  • MD Medicaid: 609550001
  • Other: R968 CAREFIRST FEDERAL GROUP
  • Other: 517251 UHC MAMSI GROUP
  • MD Other: 522156095 AMERICAN PSYCH SYSTEM
  • MD Other: LM49EA CAREFIRST BCBS GROUP
  • MD Other: 893100-01 CAREFIRST BCBS PIN
  • MD Other: 0035 CAREFIRST BCBS-FED-PIN
  • MD Other: 259147000 MAGELLAN GROUP
  • MD Other: 522156095 NCPPO
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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