Individual provider · Type 1 NPI

Nicole Angela Kelley, LCSW

Clinical Social Worker · Normal, IL

NPI number 1659473437 Active

Practice location

112 Boeykens Pl, Suite 4A
Normal, IL 61761-2152

Fax (309) 454-9521

Mailing address

702 N Washington St
Hudson, IL 61748-9476

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149011400 (IL)

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 1659473437

Nicole Angela Kelley, LCSW's National Provider Identifier is 1659473437, issued on Sep 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Normal, IL. The record was last updated on Mar 30, 2017.