Individual provider · Type 1 NPI

Shannon Geneen Kelly

Clinical Social Worker · Dallas, TX

NPI number 1275296311 Active

Practice location

17490 Meandering Way Apt 1207
Dallas, TX 75252-6150

Call (830) 928-1088 Map

Other practice locations

  • 3111 Electric Ave, Port Huron, MI 48060-8127 · (810) 966-3528

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X6801115932 (MI)
Clinical Social Worker Primary 1041C0700X65961 (TX)

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 1275296311

Shannon Geneen Kelly's National Provider Identifier is 1275296311, issued on Oct 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Dallas, TX. The record was last updated on Oct 17, 2023.