Individual provider · Type 1 NPI

Kelly Puckett, LMSW

Clinical Social Worker · Brooklyn, NY

NPI number 1952056970 Active

Practice location

26 Court St Ste 1303
Brooklyn, NY 11242-1113

Mailing address

613 18th St Apt 2F
Brooklyn, NY 11218-1130

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X108240-01 (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 1952056970

Kelly Puckett, LMSW's National Provider Identifier is 1952056970, issued on Feb 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Feb 17, 2022.