Individual provider · Type 1 NPI

Alysia Kelley

Clinical Social Worker · Myrtle Beach, SC

NPI number 1053276873 Active

Practice location

3876 Renee Dr Unit B
Myrtle Beach, SC 29579-4108

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16654 (SC)

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 1053276873

Alysia Kelley's National Provider Identifier is 1053276873, issued on Dec 23, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Myrtle Beach, SC. The record was last updated on Dec 23, 2025.