Individual provider · Type 1 NPI

Kathleen Kelly, LCSW

Clinical Social Worker · Chantilly, VA

NPI number 1154715910 Active

Practice location

4211 Walney Rd
Chantilly, VA 20151-2923

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904008817 (VA)

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 1154715910

Kathleen Kelly, LCSW's National Provider Identifier is 1154715910, issued on Mar 19, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chantilly, VA. The record was last updated on Mar 19, 2015.