Individual provider · Type 1 NPI

Diane G. Kelly, LCSW MSW

Clinical Social Worker · Newport Beach, CA

NPI number 1942417035 Active

Practice location

260 Newport Center Dr, Ste 203
Newport Beach, CA 92660-7520

Mailing address

4165 Warner Ave, Unit 302
Huntington Beach, CA 92649-4255

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS11005 (CA)

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 1942417035

Diane G. Kelly, LCSW MSW's National Provider Identifier is 1942417035, issued on May 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport Beach, CA. The record was last updated on Aug 6, 2012.