Individual provider · Type 1 NPI

Sara Anne Kelly, LICSW

Clinical Social Worker · Minneapolis, MN

NPI number 1063301547 Active

Practice location

1527 E Lake St
Minneapolis, MN 55407-6700

Other practice locations

  • 2920 Bryant Ave S Ste 111, Minneapolis, MN 55408-2332 · (631) 965-7057

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X29093 (MN)

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 1063301547

Sara Anne Kelly, LICSW's National Provider Identifier is 1063301547, issued on Jun 30, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 25, 2026.