Individual provider · Type 1 NPI
William Nathaniel Kelly Iii, LCSW
Clinical Social Worker · San Diego, CA
Practice location
10509 San Diego Mission Rd Ste P
San Diego, CA 92108-2202
Fax (619) 314-4252
Mailing address
1823 48th St
San Diego, CA 92102-1326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 86426 (CA) |
| Clinical Social Worker | 1041C0700X | C011880 (NC) |
| Clinical Social Worker | 1041C0700X | 15681 (MD) |
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 1881025302
William Nathaniel Kelly Iii, LCSW's National Provider Identifier is 1881025302, issued on Dec 9, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Diego, CA. The record was last updated on Feb 26, 2023.