Individual provider · Type 1 NPI

Mary Kelly, LCSW

Clinical Social Worker · Chicago, IL

NPI number 1992215826 Active

Practice location

1901 W Harrison St
Chicago, IL 60612-3714

Call (312) 864-2327 Map

Fax (312) 864-9380

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149.01408 (IL)

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 1992215826

Mary Kelly, LCSW's National Provider Identifier is 1992215826, issued on Oct 5, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 5, 2017.