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SARA KELLY PLLC
NPI 1134077969
Social Worker - Clinical in Minneapolis, MN

Active since March 18, 2026
3136 10TH AVE S APT 4, MINNEAPOLIS, MN 55407(631) 965-7057 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2026, Mar 18, 2026 (2 updates tracked since 2026).

About Sara Kelly Pllc NPPES

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

SARA KELLY PLLC (NPI 1134077969) is a healthcare organization registered as a clinical in Minneapolis, Minnesota and active in the NPI registry since March 2026. The organization maintains a secondary practice location in Minneapolis and lists Sara Kelly, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1134077969
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSARA KELLY PLLC
Location Address3136 10TH AVE S APT 4Minneapolis, MN 55407-1765
Mailing Address3136 10th Ave S Apt 4Minneapolis, MN 55407-1765 · (631) 965-7057
Phone(631) 965-7057
Organization SubpartNo
Authorized OfficialSara KellyPsychotherapist · (631) 965-7057
Enumeration DateMarch 18, 2026
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1134077969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3136 10TH AVE S APT 4, Minneapolis, MN 55407
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Secondary Practice Location 1

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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 PLLC's NPI number?

The NPI number for Sara Kelly PLLC is 1134077969. It was assigned to this organization in the NPPES registry on March 18, 2026.

Where is Sara Kelly PLLC located?

Sara Kelly PLLC is located at 3136 10th Ave S Apt 4, Minneapolis, MN 55407. The listed phone number is (631) 965-7057.

What is Sara Kelly PLLC'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 PLLC 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.