Individual provider · Type 1 NPI

Theresa Kelly, LCSW

Clinical Social Worker · Bronx, NY

NPI number 1609923911 Active

Practice location

3317 Rochambeau Ave
Bronx, NY 10467-2846

Fax (718) 798-1816

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X066781-1 (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…

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About NPI 1609923911

Theresa Kelly, LCSW's National Provider Identifier is 1609923911, issued on Jan 5, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bronx, NY. The record was last updated on Oct 14, 2022.