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MS. MARY BETH ELIZABETH KELLY ACSW
NPI 1093210312
Social Worker - Clinical in New York, NY

Active since March 28, 2018
310 RIVERSIDE DR APT 1707, NEW YORK, NY 10025(917) 613-3552 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Beth Elizabeth Kelly Acsw NPPES

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

MS. MARY BETH ELIZABETH KELLY ACSW (NPI 1093210312) is an individual clinical provider in New York, New York, licensed in New York (RD25675) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1093210312
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY BETH ELIZABETH KELLYCredential: ACSW
Location Address310 RIVERSIDE DR APT 1707New York, NY 10025-4127
Mailing Address310 Riverside Dr Apt 1707New York, NY 10025-4127 · (917) 613-3552
Phone(917) 613-3552
Sole ProprietorYes
Enumeration DateMarch 28, 2018
✔ NPI 1093210312 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 NY · RD25675
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.
310 RIVERSIDE DR APT 1707, New York, NY 10025
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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 Mary Beth Kelly's NPI number?

The NPI number for Mary Beth Kelly is 1093210312. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Mary Beth Kelly located?

Mary Beth Kelly practices at 310 Riverside Dr Apt 1707, New York, NY 10025. The listed phone number is (917) 613-3552.

What is Mary Beth 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 Mary Beth Kelly was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.