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THERESA KELLY LCSW
NPI 1609923911
Social Worker - Clinical in Bronx, NY

Active since January 05, 2007
3317 ROCHAMBEAU AVE, BRONX, NY 10467(718) 920-2587(718) 798-1816 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2022, Oct 7, 2022 (2 updates tracked since 2022).

About Theresa Kelly Lcsw NPPES

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

THERESA KELLY LCSW (NPI 1609923911) is an individual clinical provider in Bronx, New York, licensed in New York (066781-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1609923911
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA KELLYCredential: LCSW
Location Address3317 ROCHAMBEAU AVEBronx, NY 10467-2846
Mailing Address3317 Rochambeau AveBronx, NY 10467-2846 · (718) 920-2587 · Fax (718) 798-1816
Phone(718) 920-2587
Fax(718) 798-1816
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateOctober 14, 20222 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
✔ NPI 1609923911 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 · 066781-1
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.
3317 ROCHAMBEAU AVE, Bronx, NY 10467
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Other Providers at the Same Location NPPES 2

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

DR. WENDY P FULLER PHD
Psychologist (Clinical)
3317 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 470-8995
DR. JOSEPH KIM MD
Psychiatry & Neurology (Psychiatry)
3317 ROCHAMBEAU AVE
BRONX, NY 10467
Bronx County (718) 920-4797

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 Theresa Kelly's NPI number?

The NPI number for Theresa Kelly is 1609923911. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Theresa Kelly located?

Theresa Kelly practices at 3317 Rochambeau Ave, Bronx, NY 10467. The listed phone number is (718) 920-2587.

What is Theresa 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 Theresa Kelly was last updated on October 14, 2022. 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.