Individual provider · Type 1 NPI

Mary T. Kelly, LCSW

Clinical Social Worker · Cheyenne, WY

NPI number 1821329822 Active

Practice location

719 E 17th St
Cheyenne, WY 82001-4711

Fax (307) 426-4133

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X366 (WY)

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 1821329822

Mary T. Kelly, LCSW's National Provider Identifier is 1821329822, issued on Jan 15, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cheyenne, WY. The record was last updated on Apr 14, 2017.