Individual provider · Type 1 NPI

Shannon Mary Kelly, LMSW

Clinical Social Worker · Plymouth, MI

NPI number 1487704987 Active

Practice location

42189 Ann Arbor Rd E
Plymouth, MI 48170-4370

Call (734) 453-5603 Map

Fax (734) 453-5619

Mailing address

1174 Palmer St
Plymouth, MI 48170-2068

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1487704987

Shannon Mary Kelly, LMSW's National Provider Identifier is 1487704987, issued on Jan 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MI. The record was last updated on Jul 8, 2007.