DR. GWYNETTH E KELLY DBH
NPI 1689732786
Social Worker - Clinical in Phoenix, AZ

Active since December 04, 2006
15600 N BLACK CANYON HWY # C103, PHOENIX, AZ 85053(602) 320-7925(877) 958-9033 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gwynetth E Kelly Dbh NPPES

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

DR. GWYNETTH E KELLY DBH (NPI 1689732786) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (LCSW-15492) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1689732786
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. GWYNETTH E KELLYCredential: DBH
Location Address15600 N BLACK CANYON HWY # C103Phoenix, AZ 85053-4055
Mailing AddressPo Box 86881Phoenix, AZ 85080-6881 · (602) 320-7925
Fax(877) 958-9033
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
NPI 1689732786 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 AZ · LCSW-15492
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.
15600 N BLACK CANYON HWY # C103, Phoenix, AZ 85053

Other Names 1

Former Name (1)Ms. Gwynetth E Frederick

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 Gwynetth Kelly's NPI number?

The NPI number for Gwynetth Kelly is 1689732786. It was assigned to this individual provider in the NPPES registry on December 4, 2006. The provider is also known as Ms. Gwynetth E Frederick.

Where is Gwynetth Kelly located?

Gwynetth Kelly practices at 15600 N Black Canyon Hwy # C103, Phoenix, AZ 85053. The listed phone number is (602) 320-7925.

What is Gwynetth 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 Gwynetth Kelly was last updated on August 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.