KETELIE ALTENA MSW, CLINICIAN
NPI 1619228129
Counselor - Mental Health in Worcester, MA

Active since September 24, 2012
10 WINTHROP ST STE 3, WORCESTER, MA 01604(508) 752-4665(508) 752-0947 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ketelie Altena Msw, Clinician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETELIE ALTENA MSW, CLINICIAN (NPI 1619228129) is an individual mental health provider in Worcester, Massachusetts and active in the NPI registry since September 2012. She maintains a secondary practice location in Southbridge.

NPPES Registry Identity

NPI1619228129
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKETELIE ALTENACredential: MSW, CLINICIAN
Location Address10 WINTHROP ST STE 3Worcester, MA 01604-4445
Mailing Address2 Vigs WayWorcester, MA 01604-1361 · (508) 373-8121
Fax(508) 752-0947
Sole ProprietorYes
Enumeration DateSeptember 24, 2012
Last NPPES UpdateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
NPI 1619228129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
10 WINTHROP ST STE 3, Worcester, MA 01604

Other Names 1

Other Name (5)Kekette Altena Msw

Secondary Practice Location 1

Location 111 Sandersdale RdSouthbridge, MA 01550-2855 · Phone (774) 420-2311 ext. 408

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
10 WINTHROP ST STE 3
WORCESTER, MA 01604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketelie Altena's NPI number?

The NPI number for Ketelie Altena is 1619228129. It was assigned to this individual provider in the NPPES registry on September 24, 2012. The provider is also known as Kekette Altena Msw.

Where is Ketelie Altena located?

Ketelie Altena practices at 10 Winthrop St Ste 3, Worcester, MA 01604. The listed phone number is (508) 752-4665.

What is Ketelie Altena's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ketelie Altena was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.