Individual provider · Type 1 NPI

Jeanne Marie Kelly I, LCSW

Clinical Social Worker · San Bruno, CA

NPI number 1619013596 Active

Practice location

1001 Sneath Ln
San Bruno, CA 94066-2308

Call (650) 616-6215 Map

Fax (650) 616-6210

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS7110 (CA)

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 1619013596

Jeanne Marie Kelly I, LCSW's National Provider Identifier is 1619013596, issued on Jan 29, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Bruno, CA. The record was last updated on Jul 8, 2007.