Individual provider · Type 1 NPI
Shannon Kelly, LICSW, CPCC
Clinical Social Worker · Cambridge, MA
Practice location
875 Massachusetts Ave, #61
Cambridge, MA 02139-3067
Mailing address
14 Centre St, #6
Cambridge, MA 02139-2113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 111493 (MA) |
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 1508109083
Shannon Kelly, LICSW, CPCC's National Provider Identifier is 1508109083, issued on Apr 3, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cambridge, MA. The record was last updated on Apr 3, 2013.