Individual provider · Type 1 NPI

Kelli Jo Clancy I, LICSW

Clinical Social Worker · St. Paul, MN

NPI number 1396601191 Active

Practice location

640 Jackson St
St. Paul, MN 55101-2595

Call (651) 254-1000 Map

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X16365 (MN)
Clinical Social Worker Primary 1041C0700X16365 (MN)

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 1396601191

Kelli Jo Clancy I, LICSW's National Provider Identifier is 1396601191, issued on Dec 25, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Paul, MN. The record was last updated on Dec 25, 2025.