Individual provider · Type 1 NPI
Mason Louis Kelly, LCSW
Clinical Social Worker · Chicago, IL
Practice location
8553 S Stony Island Ave, Fl 1
Chicago, IL 60617-2249
Fax (872) 666-5512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149011810 (IL) |
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 1396801064
Mason Louis Kelly, LCSW's National Provider Identifier is 1396801064, issued on Dec 28, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Dec 1, 2016.