Individual provider · Type 1 NPI

Ryan James Kelly

Clinical Social Worker · Ontario, OR

NPI number 1013590272 Active

Practice location

702 Sunset Dr
Ontario, OR 97914-3121

Call (541) 889-9176 Map

Fax (541) 889-7873

Other practice locations

  • 1030 E Fleetwood Ct, Boise, ID 83706-5176 · (208) 777-5122

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1013590272

Ryan James Kelly's National Provider Identifier is 1013590272, issued on May 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ontario, OR. The record was last updated on Mar 4, 2026.