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JOANNA E KELLY LCSW
NPI 1437276789
Social Worker - Clinical in Medford, NY

Active since March 23, 2007
3251 ROUTE 112, BUILDING #9, SUITE 2, MEDFORD, NY 11763(631) 451-6007(631) 732-1155 Get Directions Write a Review

NPPES record last updated: February 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joanna E Kelly Lcsw NPPES

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

JOANNA E KELLY LCSW (NPI 1437276789) is an individual clinical provider in Medford, New York, licensed in New York (073199) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1437276789
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOANNA E KELLYCredential: LCSW
Location Address3251 ROUTE 112, BUILDING #9, SUITE 2Medford, NY 11763-1446
Mailing Address3251 Route 112, Building #9, Suite 2Medford, NY 11763-1446 · (631) 451-6007 · Fax (631) 732-1155
Phone(631) 451-6007
Fax(631) 732-1155
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateFebruary 22, 2011
✔ NPI 1437276789 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 · 073199
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.
3251 ROUTE 112, Medford, NY 11763
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Other Providers at the Same Location NPPES 17

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

EMILY KLEIN LMSW
Social Worker
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DIANA VOLLARO SLP LLC
Clinic/Center (Hearing and Speech)
3251 ROUTE 112, BLDG. 9, SUITE 3
MEDFORD, NY 11763
Suffolk County (631) 732-4794
MR. CHRISTOPHER MATTIMORE CASAC
Counselor (Addiction (Substance Use Disorder))
3251 ROUTE 112, BLDG. 9, STE. 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
GLADYS KNOWLES
Case Manager/Care Coordinator
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
MS. CABRINA MARIE RIGGIO LMHC, CASAC
Counselor (Mental Health)
3251 ROUTE 112, BLDG 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
HELEN SIMON
Counselor (Addiction (Substance Use Disorder))
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DOLORES M GARRY LMSW
Social Worker
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
SAIMA SATTAR KHUSBU
Social Worker
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007

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 Joanna Kelly's NPI number?

The NPI number for Joanna Kelly is 1437276789. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Joanna Kelly located?

Joanna Kelly practices at 3251 Route 112 Building #9, Suite 2, Medford, NY 11763. The listed phone number is (631) 451-6007.

What is Joanna Kelly'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 Joanna Kelly was last updated on February 22, 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.