Provider Demographics
NPI:1588627152
Name:MCKELVEY, JOAN M (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:M
Last Name:MCKELVEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
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Mailing Address - Street 1:PO BOX 8019
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01102-8000
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:329 CONWAY ST
Practice Address - Street 2:GREENFIELD HEALTH CENTER
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1526
Practice Address - Country:US
Practice Address - Phone:413-774-6301
Practice Address - Fax:413-774-6528
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA10197471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA30581OtherHEALTH NEW ENGLAND
MA1294665OtherFALLON COMMUNITY HEALTH PLAN
MAP07979OtherBLUE CROSS BLUE SHIELD
MA7793407OtherAETNA BEHAVIORAL HEALTH
MA2102207OtherCIGNA BEHAVIORAL HEALTH
MA800013338OtherRAILROAD MEDICARE
MA101974OtherTUFTS HEALTH PLAN
MA455655000OtherMAGELLAN BEHAVIORAL HEALT
MA800013338OtherRAILROAD MEDICARE