Individual provider · Type 1 NPI

Brenda Kelleher, LCSW, LICSW

Clinical Social Worker · Phoenix, AZ

NPI number 1619227410 Active

Practice location

20860 N Tatum Blvd Ste 300
Phoenix, AZ 85050-4283

Mailing address

135 Maine St Ste A-291
Brunswick, ME 04011-2098

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 1619227410

Brenda Kelleher, LCSW, LICSW's National Provider Identifier is 1619227410, issued on Sep 19, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 8, 2023.