Individual provider · Type 1 NPI
Susan Kelly, LICSW
Clinical Social Worker · Pittsfield, MA
Practice location
42 Wendell Avenue
Pittsfield, MA 01201
Fax (413) 496-9116
Mailing address
509 Pecks Rd
Pittsfield, MA 01201-1339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 111523 (MA) |
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 1043386246
Susan Kelly, LICSW's National Provider Identifier is 1043386246, issued on Nov 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pittsfield, MA. The record was last updated on Jul 9, 2007.