Individual provider · Type 1 NPI

Amy Lisa Kennelly, LCSW

Clinical Social Worker · Waterbury, CT

NPI number 1659354751 Active

Practice location

64 Robbins St, Crisis Intervention
Waterbury, CT 06708-2613

Fax (203) 573-7007

Mailing address

90 Briar Ct
Cheshire, CT 06410-3903

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X003956 (CT)

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 1659354751

Amy Lisa Kennelly, LCSW's National Provider Identifier is 1659354751, issued on Nov 22, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waterbury, CT. The record was last updated on Jul 13, 2026.