Provider Demographics
NPI:1578976833
Name:MEST, KELLI (MSW)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:
Last Name:MEST
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 N FURNACE ST
Mailing Address - Street 2:SUITE 40
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-2057
Mailing Address - Country:US
Mailing Address - Phone:610-404-8825
Mailing Address - Fax:610-404-8828
Practice Address - Street 1:321 N FURNACE ST
Practice Address - Street 2:SUITE 40
Practice Address - City:BIRDSBORO
Practice Address - State:PA
Practice Address - Zip Code:19508-2057
Practice Address - Country:US
Practice Address - Phone:610-404-8825
Practice Address - Fax:610-404-8828
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker