Individual provider · Type 1 NPI

John Patrick Kelty, L.C.S.W.

Clinical Social Worker · Phoenix, AZ

NPI number 1639288301 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Call (602) 344-5651 Map

Fax (602) 344-5578

Mailing address

PO Box 5177
Phoenix, AZ 85010-5177

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-11215 (AZ)

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 1639288301

John Patrick Kelty, L.C.S.W.'s National Provider Identifier is 1639288301, issued on Aug 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.