Individual provider · Type 1 NPI

Jonathan Robert Kelly, LMSW

Clinical Social Worker · Mount Sinai, NY

NPI number 1053023770 Active

Practice location

5505 Nesconset Hwy Ste 222
Mount Sinai, NY 11766-2026

Call (631) 892-2482 Map

Mailing address

611 W 171st St Apt 22A
New York, NY 10032-1948

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X117202-01 (NY)

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 1053023770

Jonathan Robert Kelly, LMSW's National Provider Identifier is 1053023770, issued on Dec 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Sinai, NY. The record was last updated on Dec 14, 2022.