SARA ANNE KELLY LICSW
NPI 1063301547
Social Worker - Clinical in Minneapolis, MN

Active since June 30, 2025
1527 E LAKE ST, MINNEAPOLIS, MN 55407(612) 729-0340 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Jun 30, 2025 (2 updates tracked since 2025).

About Sara Anne Kelly Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA ANNE KELLY LICSW (NPI 1063301547) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (29093) and active in the NPI registry since June 2025. She maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1063301547
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSARA ANNE KELLYCredential: LICSW
Location Address1527 E LAKE STMinneapolis, MN 55407-6700
Mailing Address1527 E Lake StMinneapolis, MN 55407-6700
Sole ProprietorYes
Enumeration DateJune 30, 2025
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
NPI 1063301547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 29093
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1527 E LAKE ST, Minneapolis, MN 55407

Secondary Practice Location 1

Location 12920 Bryant Ave S Ste 111Minneapolis, MN 55408-2332 · Phone (631) 965-7057

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1527 E LAKE ST
MINNEAPOLIS, MN 55407
Internal Medicine
1527 E LAKE ST
MINNEAPOLIS, MN 55407
Clinic/Center (Medical Specialty)
1527 E LAKE ST, SUITE 200A
MINNEAPOLIS, MN 55407
Community/Behavioral Health
1527 E LAKE ST
MINNEAPOLIS, MN 55407
Marriage & Family Therapist
1527 E LAKE ST
MINNEAPOLIS, MN 55407
Social Worker (Clinical)
1527 E LAKE ST
MINNEAPOLIS, MN 55407
Home Health
1527 E LAKE ST
MINNEAPOLIS, MN 55407
Speech-Language Pathologist
1527 E LAKE ST
MINNEAPOLIS, MN 55407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Kelly's NPI number?

The NPI number for Sara Kelly is 1063301547. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Sara Kelly located?

Sara Kelly practices at 1527 E Lake St, Minneapolis, MN 55407. The listed phone number is (612) 729-0340.

What is Sara Kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Sara Kelly was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.