Provider Demographics
NPI:1225807449
Name:MURPHY, KELLIE ELIZABETH WALSH (LMSW)
Entity Type:Individual
Prefix:
First Name:KELLIE
Middle Name:ELIZABETH WALSH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 22ND AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-6432
Mailing Address - Country:US
Mailing Address - Phone:847-641-1008
Mailing Address - Fax:
Practice Address - Street 1:2115 DATA PARK CIR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-1252
Practice Address - Country:US
Practice Address - Phone:205-705-0195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5915G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker