Individual provider · Type 1 NPI

Samuel James Kelly Iii, LCSW-C

Clinical Social Worker · Towson, MD

NPI number 1174523377 Active

Practice location

8320 Bellona Ave Ste 240
Towson, MD 21204-2093

Call (410) 498-4625 Map

Fax (410) 498-4665

Mailing address

3316 Batavia Ave
Baltimore, MD 21214-2609

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X07874 (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 1174523377

Samuel James Kelly Iii, LCSW-C's National Provider Identifier is 1174523377, issued on Jul 28, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Towson, MD. The record was last updated on Jan 9, 2026.