Individual provider · Type 1 NPI

Mary Beth Elizabeth Kelly, ACSW

Clinical Social Worker · New York, NY

NPI number 1093210312 Active

Practice location

310 Riverside Dr Apt 1707
New York, NY 10025-4127

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRD25675 (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 1093210312

Mary Beth Elizabeth Kelly, ACSW's National Provider Identifier is 1093210312, issued on Mar 28, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Mar 28, 2018.