Individual provider · Type 1 NPI

Judith M. Kelley, MSW, LICSW, LADC1

Clinical Social Worker · East Falmouth, MA

NPI number 1740337898 Active

Practice location

15 Davedon Dr
East Falmouth, MA 02536-5046

Fax (508) 457-4955

Mailing address

P.o. Box 302
Falmouth, MA 02541-0302

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X111003 (MA)

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 1740337898

Judith M. Kelley, MSW, LICSW, LADC1's National Provider Identifier is 1740337898, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in East Falmouth, MA. The record was last updated on Jul 8, 2007.