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Kirby Amanda Kelleher

Social Worker

Behavioral Health & Social Service Providers

2616 Cedar View Ct, Clearwater, FL 33761-3707

PECOS Enrollment

This provider is enrolled in PECOS as KIRBY KELLEHER.

Based on the most recent information from CMS, provider Kirby Amanda Kelleher is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1447814645
Provider Type
Individual
Full Name
Kelleher, Kirby Amanda
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/24/2019
Last Updated
6/27/2024

Contact Information

Practice Location

2616 Cedar View Ct, Clearwater, FL 33761-3707

(813) 765-1344

Unlisted Fax

Mailing Location

2616 Cedar View Ct, Clearwater, FL 33761-3707

(813) 765-1344

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License SW15751 Florida

Kirby Amanda Kelleher

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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