KELLY BRENNER
NPI 1417653056
Social Worker - Clinical in Stamford, CT

Active since February 06, 2023
2015 W MAIN ST, STAMFORD, CT 06902(203) 863-4673 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 14, 2025, Feb 6, 2023 (2 updates tracked since 2023).

About Kelly Brenner NPPES

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

KELLY BRENNER (NPI 1417653056) is an individual clinical provider in Stamford, Connecticut, licensed in Connecticut (15181) and active in the NPI registry since February 2023. She maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1417653056
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY BRENNER
Location Address2015 W MAIN STStamford, CT 06902-4536
Mailing Address150 Broad St Apt 616Stamford, CT 06901-2058
Sole ProprietorNo
Enumeration DateFebruary 6, 2023
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1417653056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CT · 15181 Licensed in MA · 226404
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.

2015 W MAIN ST, Stamford, CT 06902

Secondary Practice Location 1

Location 1800 Washington StBoston, MA 02111-1552 · Phone (617) 636-5000

Other Providers at the Same Location NPPES 11

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

Internal Medicine
2015 W MAIN ST, SUITE 100
STAMFORD, CT 06902
Internal Medicine (Cardiovascular Disease)
2015 W MAIN ST
STAMFORD, CT 06902
Specialist/Technologist, Pathology (Cytotechnology)
2015 W MAIN ST
STAMFORD, CT 06902
Internal Medicine
2015 W MAIN ST
STAMFORD, CT 06902
Internal Medicine
2015 W MAIN ST, SUITE 100
STAMFORD, CT 06902
Physical Therapist
2015 W MAIN ST
STAMFORD, CT 06902
Internal Medicine
2015 W MAIN ST
STAMFORD, CT 06902
Physical Therapist
2015 W MAIN ST
STAMFORD, CT 06902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417653056, enumerated as an "individual" on February 06, 2023.

The provider is located at 2015 W MAIN ST STAMFORD, CT 06902 and the phone number is (203) 863-4673.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.