Individual provider · Type 1 NPI

Joanna E. Kelly, LCSW

Clinical Social Worker · Medford, NY

NPI number 1437276789 Active

Practice location

3251 Route 112, Building #9, Suite 2
Medford, NY 11763-1446

Call (631) 451-6007 Map

Fax (631) 732-1155

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X073199 (NY)

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 1437276789

Joanna E. Kelly, LCSW's National Provider Identifier is 1437276789, issued on Mar 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Medford, NY. The record was last updated on Feb 22, 2011.