Bethany S. Kellogg, MSW, LCSW
Bethany S. Kellogg, MSW, LCSW is a Clinical Social Worker in Fort Wayne, Indiana. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
2100 Goshen RdFort Wayne, IN 46808-1493
Phone: (574) 936-9646
Fax: (574) 936-9646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1295245835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSW , LCSW |
| Sole proprietor | No |
| NPI enumerated | October 10, 2017 |
| Last updated in NPPES | February 25, 2021 |
| Certification date | February 25, 2021 |
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