Individual provider · Type 1 NPI

Kelly Willis, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1154553386 Active

Practice location

701 W Pratt St, 4th Floor
Baltimore, MD 21201-1023

Fax (410) 328-3806

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15168 (MD)

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 1154553386

Kelly Willis, LCSW-C's National Provider Identifier is 1154553386, issued on Aug 21, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on May 24, 2019.