Individual provider · Type 1 NPI

Sherman Kelly, LCSW-R

Clinical Social Worker · Ithaca, NY

NPI number 1760656680 Active

Practice location

204 N Cayuga St
Ithaca, NY 14850-4333

Fax (607) 273-7484

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X071099 (NY)

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 1760656680

Sherman Kelly, LCSW-R's National Provider Identifier is 1760656680, issued on Apr 22, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Apr 22, 2008.