Individual provider · Type 1 NPI

Eric James Kelly, LCSW

Clinical Social Worker · Raleigh, NC

NPI number 1154666576 Active

Practice location

3801 Lake Boone Trl, Suite 150
Raleigh, NC 27607-2934

Call (919) 210-2070 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC007238 (NC)

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 1154666576

Eric James Kelly, LCSW's National Provider Identifier is 1154666576, issued on Dec 11, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Dec 11, 2012.