Individual provider · Type 1 NPI

Sandra Emily Couch Kelly, LCSW

Clinical Social Worker · Westbrook, ME

NPI number 1164573747 Active

Practice location

410 Bridge St, Congin School
Westbrook, ME 04092-3185

Fax (207) 854-0846

Mailing address

13 Northledge Ter
Falmouth, ME 04105-2819

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC6148 (ME)

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 1164573747

Sandra Emily Couch Kelly, LCSW's National Provider Identifier is 1164573747, issued on Jan 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Westbrook, ME. The record was last updated on Jul 8, 2007.