Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. MARY LEE KELLY LCSW
NPI 1629030580
Social Worker - Clinical in Montoursville, PA

Active since April 05, 2006
252 BROAD ST, MONTOURSVILLE, PA 17754(570) 368-4744(570) 368-4741 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Mary Lee Kelly Lcsw NPPES

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

MS. MARY LEE KELLY LCSW (NPI 1629030580) is an individual clinical provider in Montoursville, Pennsylvania, licensed in Pennsylvania (SW008313L) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1629030580
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY LEE KELLYCredential: LCSW
Location Address252 BROAD STMontoursville, PA 17754
Mailing Address252 Broad StMontoursville, PA 17754 · (570) 368-4744 · Fax (570) 368-4741
Fax(570) 368-4741
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1629030580 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 PA · SW008313L
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.

252 BROAD ST, Montoursville, PA 17754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629030580, enumerated as an "individual" on April 05, 2006.

The provider is located at 252 BROAD ST MONTOURSVILLE, PA 17754 and the phone number is (570) 368-4744.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.