Provider Demographics
NPI:1891536108
Name:CARBELLO, KELLY JEANNE (MSW)
Entity type:Individual
Prefix:MS
First Name:KELLY
Middle Name:JEANNE
Last Name:CARBELLO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:KELLY
Other - Middle Name:
Other - Last Name:HESLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6302 W ONYX AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-1134
Mailing Address - Country:US
Mailing Address - Phone:602-577-0832
Mailing Address - Fax:
Practice Address - Street 1:6302 W ONYX AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-1134
Practice Address - Country:US
Practice Address - Phone:602-577-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No104100000XBehavioral Health & Social Service ProvidersSocial Worker