Individual provider · Type 1 NPI
Susan Kelly, LCSW
Clinical Social Worker · Columbia, MD
Practice location
7140 Winter Rose Path
Columbia, MD 21045-5132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 34661 (MD) |
| Clinical Social Worker | 1041C0700X | CW025422 (PA) |
| Clinical Social Worker | 1041C0700X | 128353 (MA) |
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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- Holly Pittman Gillum, LCSW-CClinical Social Worker Columbia, MD NPI 1013120278
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About NPI 1154081859
Susan Kelly, LCSW's National Provider Identifier is 1154081859, issued on Dec 21, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MD. The record was last updated on Jun 15, 2026.