1. Home
  2. Directory
  3. California
  4. Corte Madera
  5. Social Worker
  6. NPI Profile

MS. KELLY D PROTHERO LCSW
NPI 1225112055
Social Worker - Clinical in Corte Madera, CA

Active since October 25, 2006
100 TAMAL PLZ, SUITE 195, CORTE MADERA, CA 94925(415) 497-8322 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelly D Prothero Lcsw NPPES

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

MS. KELLY D PROTHERO LCSW (NPI 1225112055) is an individual clinical provider in Corte Madera, California, licensed in California (LCS 26369) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1225112055
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLY D PROTHEROCredential: LCSW
Location Address100 TAMAL PLZ, SUITE 195Corte Madera, CA 94925-1125
Mailing Address321 Laurel PlSan Rafael, CA 94901-2012 · (415) 747-8903
Phone(415) 497-8322
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 31, 2011
✔ NPI 1225112055 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 CA · LCS 26369
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.
100 TAMAL PLZ, Corte Madera, CA 94925
Open in Google Maps ↗

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.

JUDITH LEVINSON PH.D.
Psychologist
100 TAMAL PLZ, SUITE 102
CORTE MADERA, CA 94925
Marin County (415) 927-3210
DR. DEBORAH RIVA NELSON PHD, MFT
Marriage & Family Therapist
100 TAMAL PLZ, SUITE 107
CORTE MADERA, CA 94925
Marin County (415) 455-4880
DR. ELLEN SHEILA KRANTZ PH.D.
Clinical Neuropsychologist
100 TAMAL PLZ, SUITE 102
CORTE MADERA, CA 94925
Marin County (415) 927-3800
KRISTIN GREILICK BURRELL M.A., CCC-SLP
Speech-Language Pathologist
100 TAMAL PLZ, SUITE 102
CORTE MADERA, CA 94925
Marin County (415) 823-1258
DR. VALERIE CRAWFORD PH.D.
Psychologist
100 TAMAL PLZ
CORTE MADERA, CA 94925
Marin County (415) 484-5210
DR. BARBARA BERMAN PSY 15396
Psychologist (Clinical)
100 TAMAL PLZ, SUITE 100
CORTE MADERA, CA 94925
Marin County (415) 499-7655
CYNTHIA LEE STANLEY CYNTHIA STANLEY MFT
Marriage & Family Therapist
100 TAMAL PLZ, #108
CORTE MADERA, CA 94925
Marin County (415) 924-1670
MS. JACQUELINE LUMER MFT
Marriage & Family Therapist
100 TAMAL PLZ, SUITE 108
CORTE MADERA, CA 94925
Marin County (415) 341-6806

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 Kelly Prothero's NPI number?

The NPI number for Kelly Prothero is 1225112055. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Kelly Prothero located?

Kelly Prothero practices at 100 Tamal Plz Suite 195, Corte Madera, CA 94925. The listed phone number is (415) 497-8322.

What is Kelly Prothero'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 Kelly Prothero was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.