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KELLY THERESA O'BRIEN LCSW
NPI 1427426063
Social Worker - Clinical in East Syracuse, NY

Active since September 14, 2015
365 SUMMERHAVEN DR N, EAST SYRACUSE, NY 13057(315) 325-8619(315) 201-2021 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kelly Theresa O'brien Lcsw NPPES

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

KELLY THERESA O'BRIEN LCSW (NPI 1427426063) is an individual clinical provider in East Syracuse, New York, licensed in New York (095134-01) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1427426063
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY THERESA O'BRIENCredential: LCSW
Location Address365 SUMMERHAVEN DR NEast Syracuse, NY 13057-3130
Mailing Address501 W Manchester RdSyracuse, NY 13219-2419 · (315) 325-8619 · Fax (315) 201-2021
Phone(315) 325-8619
Fax(315) 201-2021
Sole ProprietorNo
Enumeration DateSeptember 14, 2015
Last NPPES UpdateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1427426063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 095134-01
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 091228-1 (NY)
365 SUMMERHAVEN DR N, East Syracuse, NY 13057
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Other Providers at the Same Location NPPES

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

KELLY OBRIEN LICENSED CLINICAL SOCIAL WORKER
Social Worker (Clinical)
365 SUMMERHAVEN DR N
EAST SYRACUSE, NY 13057
Onondaga County (315) 325-8619

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 O'brien's NPI number?

The NPI number for Kelly O'brien is 1427426063. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Kelly O'brien located?

Kelly O'brien practices at 365 Summerhaven Dr N, East Syracuse, NY 13057. The listed phone number is (315) 325-8619.

What is Kelly O'brien'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 O'brien was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.