Individual provider · Type 1 NPI

Ruby P. Kelly

Clinical Social Worker · Chicago, IL

NPI number 1699253732 Active

Practice location

1525 E 53rd St Ste 904
Chicago, IL 60615-4572

Call (312) 203-2370 Map

Fax (331) 288-8613

Mailing address

50 W 71st St Apt 1311
Chicago, IL 60621-3665

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.002756 (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 1699253732

Ruby P. Kelly's National Provider Identifier is 1699253732, issued on Jul 31, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 31, 2018.