Individual provider · Type 1 NPI

Mary Mae Kelly, L.M.S.W.

Clinical Social Worker · Marquette, MI

NPI number 1174953095 Active

Practice location

2548 County Road 550
Marquette, MI 49855-9743

Call (989) 930-7527 Map

Mailing address

PO Box 10
Mason, MI 48854-0010

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801091372 (MI)
Social Worker 104100000X6801091372 (MI)

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 1174953095

Mary Mae Kelly, L.M.S.W.'s National Provider Identifier is 1174953095, issued on Nov 13, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Marquette, MI. The record was last updated on Sep 3, 2026.