MS. RENEE SARAH KELLY LCSW
NPI 1144391012
Social Worker - Clinical in Rego Park, NY

Q: What is Renee Kelly's NPI number?

The NPI number for Renee Kelly is 1144391012. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Renee Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Renee Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 13, 2006

9729 64TH RD, REGO PARK, NY 11374(718) 896-3400(718) 459-5621 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Renee Sarah Kelly Lcsw NPPES

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

MS. RENEE SARAH KELLY LCSW (NPI 1144391012) is an individual clinical provider in Rego Park, New York, licensed in New York (061923) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1144391012

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. RENEE SARAH KELLYCredential: LCSW

Location Address9729 64TH RDRego Park, NY 11374-2240

Mailing Address9711 Springfield BlvdQueens Village, NY 11429-1328 · (718) 464-3350

Phone(718) 896-3400

Fax(718) 459-5621

Sole ProprietorNo

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1144391012 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 · 061923

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.

9729 64TH RD, Rego Park, NY 11374

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Other Identifiers 1

Other00244019NY · Medicaid Provider Number

Other Providers at the Same Location NPPES 20

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

MRS. ESTHER EPSTEIN COOPER LCSW

Social Worker (Clinical)