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MS. JEANNE MARIE KELLY I LCSW
NPI 1619013596
Social Worker - Clinical in San Bruno, CA

Active since January 29, 2007
1001 SNEATH LN, SAN BRUNO, CA 94066(650) 616-6215(650) 616-6210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jeanne Marie Kelly I Lcsw NPPES

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

MS. JEANNE MARIE KELLY I LCSW (NPI 1619013596) is an individual clinical provider in San Bruno, California, licensed in California (LCS7110) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1619013596
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JEANNE MARIE KELLY ICredential: LCSW
Location Address1001 SNEATH LNSan Bruno, CA 94066-2308
Mailing Address1001 Sneath LnSan Bruno, CA 94066-2308 · (650) 616-6215 · Fax (650) 616-6210
Phone(650) 616-6215
Fax(650) 616-6210
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619013596 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 CA · LCS7110
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.
1001 SNEATH LN, San Bruno, CA 94066
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Other Providers at the Same Location NPPES 20

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

DAPHNEY FULGENCIO
Behavior Technician
1001 SNEATH LN
SAN BRUNO, CA 94066
San Mateo County (650) 243-9849
LAURA BRECKENRIDGE NP
Internal Medicine (Sports Medicine)
1001 SNEATH LN, SUITE 104
SAN BRUNO, CA 94066
San Mateo County (650) 873-4545
MARIFE ROSANNA S. TOLENTINO MD
Pediatrics
1001 SNEATH LN, STE 104
SAN BRUNO, CA 94066
San Mateo County (650) 873-4545
DR. SUSAN E SALES DDS
Dentist (General Practice)
1001 SNEATH LN, SUITE 108
SAN BRUNO, CA 94066
San Mateo County (650) 871-2741
SAN FRANCISCO VAMC
Clinic/Center (VA)
1001 SNEATH LN, SUITE 300
SAN BRUNO, CA 94066
San Mateo County (702) 341-3020
MRS. DINA R JENKINS RDA
Counselor (Addiction (Substance Use Disorder))
1001 SNEATH LN
SAN BRUNO, CA 94066
San Mateo County (650) 244-1444
DR. NATHAN EWIGMAN
Psychologist (Clinical)
1001 SNEATH LN
SAN BRUNO, CA 94066
San Mateo County (650) 615-6050
DR. EMJAY MENG-JIAO TAN M.D.
Psychiatry & Neurology (Addiction Psychiatry)
1001 SNEATH LN, SUITE 204
SAN BRUNO, CA 94066
San Mateo County (650) 616-6200

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 Jeanne Kelly's NPI number?

The NPI number for Jeanne Kelly is 1619013596. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Jeanne Kelly located?

Jeanne Kelly practices at 1001 Sneath Ln, San Bruno, CA 94066. The listed phone number is (650) 616-6215.

What is Jeanne 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 Jeanne 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.