MR. CHARLES L KELLY MSW, LICSW
NPI 1518025683
Social Worker - Clinical in Plymouth, MA

Active since December 04, 2006
40 INDUSTRIAL PARK RD, DEPARTMENT OF MENTAL HEALTH, PLYMOUTH, MA 02360(508) 732-3011 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Charles L Kelly Msw, Licsw NPPES

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

MR. CHARLES L KELLY MSW, LICSW (NPI 1518025683) is an individual clinical provider in Plymouth, Massachusetts, licensed in Massachusetts (103859) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1518025683
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHARLES L KELLYCredential: MSW, LICSW
Location Address40 INDUSTRIAL PARK RD, DEPARTMENT OF MENTAL HEALTHPlymouth, MA 02360-4884
Mailing AddressPo Box 396Brant Rock, MA 02020-0396 · (781) 837-9312
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518025683 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 MA · 103859
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.
40 INDUSTRIAL PARK RD, Plymouth, MA 02360

Other Identifiers 2

OtherPO3270MA · Blue Sheild Provider Numb
Medicare ID-Type UnspecifiedPO3270MA · Provder Number

Other Providers at the Same Location NPPES 14

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

Nurse Anesthetist, Certified Registered
40 INDUSTRIAL PARK RD
PLYMOUTH, MA 02360
Nurse Anesthetist, Certified Registered
40 INDUSTRIAL PARK RD
PLYMOUTH, MA 02360
Ophthalmology
40 INDUSTRIAL PARK RD
PLYMOUTH, MA 02360
Technician/Technologist (Ophthalmic)
40 INDUSTRIAL PARK RD
PLYMOUTH, MA 02360
Case Management
40 INDUSTRIAL PARK RD
PLYMOUTH, MA 02360
Ophthalmology
40 INDUSTRIAL PARK RD
PLYMOUTH, MA 02360
Social Worker (Clinical)
40 INDUSTRIAL PARK RD, D.M.H.
PLYMOUTH, MA 02360
Ophthalmology
40 INDUSTRIAL PARK RD
PLYMOUTH, MA 02360

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 Charles Kelly's NPI number?

The NPI number for Charles Kelly is 1518025683. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Charles Kelly located?

Charles Kelly practices at 40 Industrial Park Rd Department Of Mental Health, Plymouth, MA 02360. The listed phone number is (508) 732-3011.

What is Charles 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 Charles 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.