Individual provider · Type 1 NPI

Charles B. Kellam, LCSW-R

Clinical Social Worker · New York, NY

NPI number 1487721932 Active

Practice location

1727 Amsterdam Ave
New York, NY 10031-4611

Call (212) 694-9200 Map

Fax (212) 368-5608

Mailing address

30 Park Ter E Apt 5E
New York, NY 10034-1559

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X047627-1 (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…

254 other providers at this address

Other clinical social worker providers in New York

See all in New York →

About NPI 1487721932

Charles B. Kellam, LCSW-R's National Provider Identifier is 1487721932, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.