Individual provider · Type 1 NPI

Regina Keddell, LCSW-R

Clinical Social Worker · Elmira, NY

NPI number 1053588103 Active

Practice location

407 W Water St
Elmira, NY 14905-2521

Call (607) 734-0980 Map

Fax (607) 734-0981

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR044527-1 (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 1053588103

Regina Keddell, LCSW-R's National Provider Identifier is 1053588103, issued on May 8, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Elmira, NY. The record was last updated on May 8, 2008.