Individual provider · Type 1 NPI

Mary Lee Kelly, LCSW

Clinical Social Worker · Montoursville, PA

NPI number 1629030580 Active

Practice location

252 Broad St
Montoursville, PA 17754

Fax (570) 368-4741

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW008313L (PA)

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…

About NPI 1629030580

Mary Lee Kelly, LCSW's National Provider Identifier is 1629030580, issued on Apr 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Montoursville, PA. The record was last updated on Jul 13, 2026.