TIMOTHY J KELLY L.C.S.W.
NPI 1780027714
Social Worker - Clinical in Baltimore, MD

Active since April 09, 2013
5407 N CHARLES ST, BALTIMORE, MD 21210(410) 433-8861(410) 433-1249 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy J Kelly L.c.s.w. NPPES

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

TIMOTHY J KELLY L.C.S.W. (NPI 1780027714) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (12636) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1780027714
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTIMOTHY J KELLYCredential: L.C.S.W.
Location Address5407 N CHARLES STBaltimore, MD 21210-2024
Mailing Address5407 N Charles StBaltimore, MD 21210-2024 · (410) 433-8861 · Fax (410) 433-1249
Fax(410) 433-1249
Sole ProprietorNo
Enumeration DateApril 9, 2013
NPI 1780027714 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 MD · 12636
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.

5407 N CHARLES ST, Baltimore, MD 21210

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.

Counselor
5407 N CHARLES ST
BALTIMORE, MD 21210
Social Worker
5407 N CHARLES ST
BALTIMORE, MD 21210
Social Worker
5407 N CHARLES ST
BALTIMORE, MD 21210
Counselor
5407 N CHARLES ST
BALTIMORE, MD 21210
Counselor
5407 N CHARLES ST
BALTIMORE, MD 21210
Counselor
5407 N CHARLES ST
BALTIMORE, MD 21210
Social Worker
5407 N CHARLES ST
BALTIMORE, MD 21210
Social Worker (Clinical)
5407 N CHARLES ST
BALTIMORE, MD 21210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780027714, enumerated as an "individual" on April 09, 2013.

The provider is located at 5407 N CHARLES ST BALTIMORE, MD 21210 and the phone number is (410) 433-8861.

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